Organization Active NPI

David M Pond DDS MDS PC

  • Periodontics
  • Kingsport, TN
National Provider Identifier
1497990816
Registry record updated Dec 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DS8499 Issued in TN
Legal business name
DAVID M POND DDS MDS PC
Practice address
210 Lockport Cir
Kingsport, TN 37664-5278
Phone
(423) 239-3993
Fax
(423) 239-9499
NPI assigned
Dec 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2008

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

Authorized official

Name
Dr. David M Pond, DDS MDS PCNPI 1710086418
Title
President
Phone
(423) 239-3993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DS8499 TN Primary

Addresses

Primary practice location

210 Lockport Cir
Kingsport, TN 37664-5278

Mailing address

210 Lockport Cir
Kingsport, TN 37664-5278
Phone (423) 239-3993

National Provider Directory

National Provider Directory

Locations

210 Lockport Cir
Kingsport, TN 37664
Phone (423) 239-3993

Practitioners & affiliated clinicians

Practitioners 2

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": "1229299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229299200000",
    "number": "1497990816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 LOCKPORT CIR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645278",
            "telephone_number": "423-239-3993",
            "fax_number": "423-239-9499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 LOCKPORT CIR",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645278",
            "telephone_number": "423-239-3993",
            "fax_number": "423-239-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M POND DDS MDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-15",
        "last_updated": "2008-12-15",
        "status": "A",
        "authorized_official_last_name": "POND",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-239-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS MDS PC"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "DS8499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2008; 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.