Eugene Woody Stinson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-5043 Issued in TN

Practice address

8874 Kingston Pike
Suite 102
Knoxville, TN 37923

Phone

(865) 691-2330

Fax

(865) 691-2344

NPI assigned

Mar 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: eugene.stinson.1@15627.direct.athenahealth.com

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.

• Associated Dental Professionals West

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1457591190
  NPD (past)
• Eugene Stinson DDS

  • General Practice Dentistry
  • Kodak, TN
  • NPI 1639541543
  NPD (past)
• Kodak Family Dental, PLLC

  • Dental Clinic/Center
  • Kodak, TN
  • NPI 1720692726
  NPD (past)

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1477677474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8874 KINGSTON PIKE",
            "address_2": "SUITE 102",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37923",
            "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": "37923",
            "telephone_number": "865-691-2330",
            "fax_number": "865-691-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "EUGENE",
        "middle_name": "WOODY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-17",
        "last_updated": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS-5043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENNCARE",
            "identifier": "5440268",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225522",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Maria Stiltner, MD
• Vicki Stiltner, PA
• Lindsey Stimets, FNTP
• Larry J Stinbrink, CRNA
• Abigail Lorraine Stine, BSW
• Shaquan Le'Quez Dakwania Stinson
• Alicia Stipes
• Rachel Christina Stock, OTD, OTR/L
• Laura Stockdale, PH.D.
• Benjamin H. Stocking

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.