Individual provider Active NPI

Susan Marie Orwick-Barnes, DDS, PC

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1457413213
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
3807 Issued in TN
Practice address
10434 Kingston Pike
Suite 4
Knoxville, TN 37922-3278
Phone
(865) 531-2266
Fax
(865) 531-2934
NPI assigned
Dec 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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 3807 TN Primary

Addresses

Primary practice location

10434 Kingston Pike
Suite 4
Knoxville, TN 37922-3278

Mailing address

10434 Kingston Pike
Suite 4
Knoxville, TN 37922-3278
Phone (865) 531-2266

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160830000617 TN Order and Referring Only - Other (Non-Physician) 6800180712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3807TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457413213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10434 KINGSTON PIKE",
            "address_2": "SUITE 4",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223278",
            "telephone_number": "865-531-2266",
            "fax_number": "865-531-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10434 KINGSTON PIKE",
            "address_2": "SUITE 4",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223278",
            "telephone_number": "865-531-2266",
            "fax_number": "865-531-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORWICK-BARNES",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DDS, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "3807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.