John Marshall Jewett DMD PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

JOHN MARSHALL JEWETT DMD PLLC

Practice address

2333 Knob Creek Rd Ste 10
Johnson City, TN 37604-2007

Phone

(423) 854-8830

Fax

(423) 854-8741

NPI assigned

Apr 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. John Marshall Jewett, DMDNPI 1316334071

Title

Owner

Phone

(423) 384-2240

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Marshall Jewett, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Johnson City, TN
  • NPI 1316334071
  NPD (past) Authorized official

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1497318471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD STE 10",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-854-8830",
            "fax_number": "423-854-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 KNOB CREEK RD STE 10",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042007",
            "telephone_number": "423-854-8830",
            "fax_number": "423-854-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MARSHALL JEWETT DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "JEWETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-384-2240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthodontics and Dentofacial Orthopedics Dentistry in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.