Active NPI
Jincheng Du, D.D.S.
- Dentist
- Clarksville, TN
National Provider Identifier
1457765778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9842
- Practice address
- 2485 Fort Campbell Blvd
Suite 101
Clarksville, TN 37042-7787 - Phone
- (931) 431-0200
- NPI assigned
- Jun 14, 2014
- Sex
- Male
- Sole proprietor
- No
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 | 9842 | TN | Primary |
Addresses
Primary practice location
2485 Fort Campbell Blvd
Suite 101
Clarksville, TN 37042-7787
Mailing address
2485 Fort Campbell Blvd
Suite 101
Clarksville, TN 37042-7787
Phone (931) 431-0200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdu739839@direct.med.utah.edu | Direct | University of Utah |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alpha Dental, PLLC | Past | Accepting new patients | |
| Zachary Meyer, DDS, PLLC | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Practice Dentistry
- Clarksville, TN
- NPI 1861560815
-
- Dental Clinic/Center
- Clarksville, TN
- NPI 1326763467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742169600000",
"number": "1457765778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2485 FORT CAMPBELL BLVD",
"address_2": "SUITE 101",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427787",
"telephone_number": "931-431-0200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2485 FORT CAMPBELL BLVD",
"address_2": "SUITE 101",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370427787",
"telephone_number": "931-431-0200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DU",
"first_name": "JINCHENG",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-14",
"last_updated": "2025-03-17",
"certification_date": "2025-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdu739839@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.