Active NPI
David Wesley Dickey III, DDS
- Dentist
- Knoxville, TN
National Provider Identifier
1447437447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS3036
- Practice address
- 5317 Clinton Hwy
Knoxville, TN 37912 - Phone
- (865) 689-4113
- Fax
- (865) 689-5991
- NPI assigned
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS3036 | TN | Primary |
Addresses
Primary practice location
5317 Clinton Hwy
Knoxville, TN 37912
Mailing address
5317 Clinton Hwy
Knoxville, TN 37912
Phone (865) 689-4113
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 |
|---|---|---|---|
| DS3036 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200960000000",
"number": "1447437447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5317 CLINTON HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37912",
"telephone_number": "865-689-4113",
"fax_number": "865-689-5991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5317 CLINTON HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37912",
"telephone_number": "865-689-4113",
"fax_number": "865-689-5991"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKEY",
"first_name": "DAVID",
"middle_name": "WESLEY",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS3036",
"primary": true
}
],
"identifiers": [],
"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 Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.