Individual provider Active NPI

Nicholas S. Cakmes, DDS

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1376625798
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS4528 Issued in TN
Practice address
6230 Highland Place Way
Suite 201
Knoxville, TN 37919-4036
Phone
(865) 584-6163
Fax
(865) 588-8202
NPI assigned
Oct 19, 2006
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 DS4528 TN Primary

Addresses

Primary practice location

6230 Highland Place Way
Suite 201
Knoxville, TN 37919-4036

Mailing address

1513 Britling Dr
Knoxville, TN 37922-8052
Phone (865) 690-1154

Other identifiers 1

IdentifierTypeStateIssuer
DS4528OtherTNSTATE DENTAL LICENSE

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

State licenses

LicenseStateTypeSpecialty
DS4528TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376625798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 BRITLING DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228052",
            "telephone_number": "865-690-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6230 HIGHLAND PLACE WAY",
            "address_2": "SUITE 201",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194036",
            "telephone_number": "865-584-6163",
            "fax_number": "865-588-8202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAKMES",
        "first_name": "NICHOLAS",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "DS4528",
            "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 8, 2007; 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.