Active NPI
Mark S. Cowart, D.D.S. Inc
- General Practice Dentistry
- Chattanooga, TN
National Provider Identifier
1497168579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4766
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q003549 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
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.