Individual provider Active NPI

Donald Glen Hooie, D.D.S.

  • General Practice Dentistry
  • Crossville, TN
National Provider Identifier
1477647105
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4851 Issued in TN
Practice address
788 S Main St
Crossville, TN 38555-5041
Phone
(931) 456-1950
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4851 TN Primary

Addresses

Primary practice location

788 S Main St
Crossville, TN 38555-5041

Mailing address

788 S Main St
Crossville, TN 38555-5041
Phone (931) 456-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150713002315 TN Order and Referring Only - DentistPractitioner - Dentist 0042523565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477647105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "788 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555041",
            "telephone_number": "931-456-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "788 S MAIN ST",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555041",
            "telephone_number": "931-456-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOIE",
        "first_name": "DONALD",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

Verify at the official NPI Registry.