Active NPI
C Dennis Muse
- Dentist
- Copperhill, TN
National Provider Identifier
1346482098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014662 | Medicaid | TN | |
| 00307238A | Medicaid | GA | |
| 8996286 | Medicaid | NC | |
| 0014662 | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Copperhill, TN
- NPI 1386771566
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.