Active NPI
Eric A. Echard, D.D.S
- Dentist
- Kingsport, TN
National Provider Identifier
1467746446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9484
- Practice address
- 1339 Moreland Drive
Suite 1
Kingsport, TN 37663 - Phone
- (423) 239-7450
- Fax
- (423) 239-7451
- NPI assigned
- Jun 7, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3946 | WV | |
| Dentist | 122300000X | 9484 | TN | Primary |
Addresses
Primary practice location
1339 Moreland Drive
Suite 1
Kingsport, TN 37663
Mailing address
1339 Moreland Drive
Suite 1
Kingsport, TN 37663
Phone (423) 239-7450
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9484 | TN | MD | Dentist |
| 3946 | WV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Dentistry and Implants, PLLC | Past | Accepting new patients |
Organizations & group practices 1
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
- Kingsport, TN
- NPI 1699506287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1467746446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1339 MORELAND DRIVE",
"address_2": "SUITE 1",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37663",
"telephone_number": "423-239-7450",
"fax_number": "423-239-7451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1339 MORELAND DRIVE",
"address_2": "SUITE 1",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37663",
"telephone_number": "423-239-7450",
"fax_number": "423-239-7451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECHARD",
"first_name": "ERIC",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-07",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WV",
"license": "3946",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9484",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.