Organization Active NPI

Dyersburg Dental Associates

  • General Practice Dentistry
  • Dyersburg, TN
National Provider Identifier
1467567586
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6939 Issued in TN
Legal business name
DYERSBURG DENTAL ASSOCIATES
Practice address
433 E Parkview St
Dyersburg, TN 38024-3111
Phone
(731) 285-2062
Fax
(731) 286-9170
NPI assigned
Aug 20, 2006
Last updated
Jun 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. James C Hawkins, DDSNPI 1376758052
Title
Owner
Phone
(731) 285-2062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 6939 TN Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 7476 TN
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 2273 TN

Addresses

Primary practice location

433 E Parkview St
Dyersburg, TN 38024-3111

Mailing address

433 E Parkview St
Dyersburg, TN 38024-3111
Phone (731) 285-2062

Other names 1

  • Horner & Hawkins Partners Former legal business name

National Provider Directory

National Provider Directory

Locations

433 E Parkview St
Dyersburg, TN 38024
Phone (731) 285-2062

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1467567586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 E PARKVIEW ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243111",
            "telephone_number": "731-285-2062",
            "fax_number": "731-286-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 E PARKVIEW ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243111",
            "telephone_number": "731-285-2062",
            "fax_number": "731-286-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYERSBURG DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-285-2062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "6939",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7476",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "2273",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horner & Hawkins Partners",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.

Verify at the official NPI Registry.