Organization Active NPI

C Dennis Muse

  • Dentist
  • Copperhill, TN
National Provider Identifier
1346482098
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
C DENNIS MUSE
Practice address
75 Grand Avenue
Copperhill, TN 37317-0889
Phone
(423) 496-5503
Fax
(423) 496-9963
NPI assigned
Mar 27, 2009
Last updated
Mar 27, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
C Dennis Muse, DDS
Title
Owner
Phone
(423) 496-5503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

75 Grand Avenue
Copperhill, TN 37317-0889

Mailing address

PO Box 889
75 Grand Ave
Copperhill, TN 37317-0889
Phone (423) 496-5503

Other identifiers 4

IdentifierTypeStateIssuer
0014662MedicaidTN
00307238AMedicaidGA
8996286MedicaidNC
0014662MedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1346482098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 889",
            "address_2": "75 GRAND AVE",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373170889",
            "telephone_number": "423-496-5503",
            "fax_number": "423-496-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 GRAND AVENUE",
            "city": "COPPERHILL",
            "state": "TN",
            "postal_code": "373170889",
            "telephone_number": "423-496-5503",
            "fax_number": "423-496-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C DENNIS MUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "MUSE",
        "authorized_official_first_name": "C",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-496-5503",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014662",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00307238A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8996286",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014662",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Copperhill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.