NPIMap

Organization Active NPI

Associated Dental Professionals West

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1457591190
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 3638 Issued in TN
Legal business name
ASSOCIATED DENTAL PROFESSIONALS WEST
Practice address
8874 Kingston Pike
Suite 102
Knoxville, TN 37923-5013
Phone
(865) 691-2330
Fax
(865) 691-2344
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Mark T Barker, D.M.D.
Title
President
Phone
(865) 691-2330

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS 3638 TN Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS 5278 TN

Addresses

Primary practice location

8874 Kingston Pike
Suite 102
Knoxville, TN 37923-5013

Mailing address

8874 Kingston Pike, Suite 102
Associated Dental Professionals West
Knoxville, TN 37923-5013
Phone (865) 691-2330

National Provider Directory

National Provider Directory

Locations

8874 Kingston Pike
Ste 102
Knoxville, TN 37923
Phone (865) 691-2330

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1457591190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8874 KINGSTON PIKE, SUITE 102",
            "address_2": "ASSOCIATED DENTAL PROFESSIONALS WEST",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235013",
            "telephone_number": "865-691-2330",
            "fax_number": "865-691-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8874 KINGSTON PIKE",
            "address_2": "SUITE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235013",
            "telephone_number": "865-691-2330",
            "fax_number": "865-691-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED DENTAL PROFESSIONALS WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-691-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 3638",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 5278",
            "primary": false
        }
    ],
    "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 Feb 20, 2009; 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.