John A. Sines Jr., D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS6824 Issued in TN

Practice address

9413 Apison Pike
Suite 120
Ooltewah, TN 37363-8661

Phone

(423) 648-4884

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457477895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373630050",
            "telephone_number": "423-648-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9413 APISON PIKE",
            "address_2": "SUITE 120",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638661",
            "telephone_number": "423-648-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINES",
        "first_name": "JOHN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS6824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "30163416",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen T Sherwood, M.D.
• Diane Allen Shuck
• Silversage Physician Services of Tennessee, PLLC
• Logan Sims, DPT
• John Clinton Sinclair, LMT
• Kelsey Lynn Sivley, PT, DPT
• Bernadette Slater, OTR/L, CLT
• Allison Smith, PHARMD
• Andrea Nicole Smith, PHARM.D,
• James Smith

• General Practice Dentistry in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.