Active NPI
Amber Lynne Pearce, DMD
- General Practice Dentistry
- Elizabethton, TN
National Provider Identifier
1376151506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11320
- Practice address
- 208 Parkway Blvd
Elizabethton, TN 37643-2845 - Phone
- (423) 543-5200
- NPI assigned
- Jul 14, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11320 | TN | Primary |
Addresses
Primary practice location
208 Parkway Blvd
Elizabethton, TN 37643-2845
Mailing address
800 W Watauga Ave Apt 5
Johnson City, TN 37604-6476
Phone (423) 544-4286
Other names 1
- Mrs. Amber Lynne Pearce
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: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201030002013 | TN | Order and Referring Only - Dentist | 8325458433 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11320 | TN | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin Dentistry | Current | Accepting new patients |
Locations
208 Parkway Blvd
Elizabethton, TN 37643
Phone (423) 543-5200
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 and National Provider Directory roles.
-
- Dental Clinic/Center
- Elizabethton, TN
- NPI 1639804693
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1376151506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W WATAUGA AVE APT 5",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046476",
"telephone_number": "423-544-4286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 PARKWAY BLVD",
"city": "ELIZABETHTON",
"state": "TN",
"postal_code": "376432845",
"telephone_number": "423-543-5200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEARCE",
"first_name": "AMBER",
"middle_name": "LYNNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11320",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMBER",
"last_name": "PEARCE",
"middle_name": "LYNNE",
"prefix": "MRS.",
"credential": "DMD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Elizabethton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.