Active NPI
Donnie K Dean, DDS
- Dentist
- Knoxville, TN
National Provider Identifier
1306854310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5216
- Practice address
- 121 Capital Dr
Knoxville, TN 37922-3393 - Phone
- (865) 539-1119
- Fax
- (865) 539-9833
- NPI assigned
- Aug 4, 2006
- Last updated
- Jul 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5216 | TN | Primary |
Addresses
Primary practice location
121 Capital Dr
Knoxville, TN 37922-3393
Mailing address
121 Capital Dr
Knoxville, TN 37922-3393
Phone (865) 539-1119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0134304 | Other | TN | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690329600000",
"number": "1306854310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 CAPITAL DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223393",
"telephone_number": "865-539-1119",
"fax_number": "865-539-9833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "121 CAPITAL DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223393",
"telephone_number": "865-539-1119",
"fax_number": "865-539-9833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEAN",
"first_name": "DONNIE",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2023-07-26",
"certification_date": "2023-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "5216",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0134304",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.