Active NPI
Claude Dennis Muse, DDS
- Dentist
- Copperhill, TN
National Provider Identifier
1386771566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000003727
- Practice address
- 75 Grand Avenue
Copperhill, TN 37317 - Phone
- (423) 496-5503
- Fax
- (423) 496-9963
- NPI assigned
- Feb 27, 2007
- Last updated
- Sep 28, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN009693 | GA | |
| Dentist | 122300000X | DS0000003727 | TN | Primary |
Addresses
Primary practice location
75 Grand Avenue
Copperhill, TN 37317
Mailing address
PO Box 889
Copperhill, TN 37317
Phone (423) 548-0363
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014662 | Other | TN | TENN CARE |
| 0014662 | Other | DORAL | |
| 00307238A | Medicaid | GA | |
| 8996286 | Medicaid | NC | |
| 0014662 | Other | GA | PEACHCARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN009693 | GA | MD | Dentist |
| DS0000003727 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| C Dennis Muse | Dentist | Past | Accepting new patients |
| Dental Practice Group of Tennessee, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dentist
- Copperhill, TN
- NPI 1346482098
-
dba Children's Dentistry of Red Bank
- Dentist
- Memphis, TN
- NPI 1497058788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1386771566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 889",
"city": "COPPERHILL",
"state": "TN",
"postal_code": "37317",
"telephone_number": "423-548-0363",
"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": "37317",
"telephone_number": "423-496-5503",
"fax_number": "423-496-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSE",
"first_name": "CLAUDE",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN009693",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000003727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENN CARE",
"identifier": "0014662",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "0014662",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00307238A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8996286",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEACHCARE",
"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 Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.