Individual provider Active NPI

Claude Dennis Muse, DDS

  • Dentist
  • Copperhill, TN
National Provider Identifier
1386771566
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0000003727 Issued in TN
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0014662OtherTNTENN CARE
0014662OtherDORAL
00307238AMedicaidGA
8996286MedicaidNC
0014662OtherGAPEACHCARE

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
DN009693GAMDDentist
DS0000003727TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
C Dennis Muse Dentist PastSince Oct 1, 2023 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.

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.

Verify at the official NPI Registry.