Individual provider Active NPI

Michael O Oakes, D.D.S.

  • General Practice Dentistry
  • Hermitage, TN
National Provider Identifier
1336207067
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS8116 Issued in TN
Practice address
4761 Andrew Jackson Pkwy
Hermitage, TN 37076-1354
Phone
(615) 885-3525
Fax
(615) 885-9767
NPI assigned
Dec 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS8116 TN Primary

Addresses

Primary practice location

4761 Andrew Jackson Pkwy
Hermitage, TN 37076-1354

Mailing address

429 Verandah LN
Franklin, TN 37064-4737
Phone (615) 885-3525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616002945 TN Order and Referring Only - Other (Non-Physician) 8224349378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8116TNMDClinical Social Worker
DS8116TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Huffines Oakes Dental Care Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336207067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 VERANDAH LN",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370644737",
            "telephone_number": "615-885-3525",
            "fax_number": "615-885-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 ANDREW JACKSON PKWY",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370761354",
            "telephone_number": "615-885-3525",
            "fax_number": "615-885-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKES",
        "first_name": "MICHAEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermitage, TN

Sources for this page

Verify at the official NPI Registry.