NPIMap

Organization Active NPI

Minton Family Dental Care

  • Dentist
  • Tazewell, TN
National Provider Identifier
1497063903
Registry record updated Sep 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9022 Issued in TN
Legal business name
MINTON FAMILY DENTAL CARE
Practice address
210 Cedar Fork Rd.
Tazewell, TN 37879
Phone
(423) 626-7070
Fax
(423) 626-7060
NPI assigned
Sep 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2010

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

Authorized official

Name
Elizabeth Daniels
Title
Office Manager
Phone
(423) 626-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 9022 TN Primary

Addresses

Primary practice location

210 Cedar Fork Rd.
Tazewell, TN 37879

Mailing address

210 Cedar Fork Rd.
Tazewell, TN 37879
Phone (423) 626-7070

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1497063903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CEDAR FORK RD.",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "37879",
            "telephone_number": "423-626-7070",
            "fax_number": "423-626-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CEDAR FORK RD.",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "37879",
            "telephone_number": "423-626-7070",
            "fax_number": "423-626-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTON FAMILY DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-626-7070"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "9022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.