Individual provider Active NPI

Mark Daniel Cathey, DMD

  • Dentist
  • Paris, TN
National Provider Identifier
1427501592
Registry record updated Jul 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10272 Issued in TN
Practice address
405 Tyson Ave
Suite a
Paris, TN 38242-4835
Phone
(731) 642-2244
NPI assigned
Jul 25, 2016
Last updated
Jul 25, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10272 TN Primary

Addresses

Primary practice location

405 Tyson Ave
Suite a
Paris, TN 38242-4835

Mailing address

405 Tyson Ave
Suite a
Paris, TN 38242-4835
Phone (731) 642-2244

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160928001139 TN Order and Referring Only - DentistPractitioner - Dentist 1658668082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10272TNMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Family Dentistry PLLC CurrentSince Aug 9, 2020 Accepting new patients
Twin Lakes Dental Associates Past Accepting new patients

Locations

4933 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 899-1948

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": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469404800000",
    "number": "1427501592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 TYSON AVE",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424835",
            "telephone_number": "731-642-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 TYSON AVE",
            "address_2": "SUITE A",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424835",
            "telephone_number": "731-642-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHEY",
        "first_name": "MARK",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2016-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

Verify at the official NPI Registry.