Organization Active NPI

Mark S. Cowart, D.D.S. Inc

  • General Practice Dentistry
  • Chattanooga, TN
National Provider Identifier
1497168579
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4766 Issued in TN
Legal business name
MARK S. COWART, D.D.S. INC
Practice address
4355 Highway 58 Ste 103a
Chattanooga, TN 37416-2941
Phone
(423) 894-5258
Fax
(423) 892-7781
NPI assigned
Jun 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Mrs. Liz Kramlich
Title
Front Desk
Phone
(423) 894-5258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 4766 TN Primary

Addresses

Primary practice location

4355 Highway 58 Ste 103a
Chattanooga, TN 37416-2941

Mailing address

4355 Highway 58 Ste 103a
Chattanooga, TN 37416-2941
Phone (423) 894-5258

Other identifiers 1

IdentifierTypeStateIssuer
Q003549MedicaidTN

National Provider Directory

National Provider Directory

Locations

4355 Highway 58
Ste 103A
Chattanooga, TN 37416
Phone (423) 894-5258

NPI Registry JSON

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1497168579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 HIGHWAY 58 STE 103A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162941",
            "telephone_number": "423-894-5258",
            "fax_number": "423-892-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 HIGHWAY 58 STE 103A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374162941",
            "telephone_number": "423-894-5258",
            "fax_number": "423-892-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK S. COWART, D.D.S. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-06",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "KRAMLICH",
        "authorized_official_first_name": "LIZ",
        "authorized_official_title_or_position": "FRONT DESK",
        "authorized_official_telephone_number": "423-894-5258",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q003549",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.