Organization Active NPI

Dr.Melvin Donesky D.D.S.

  • Dentist
  • New Tazewell, TN
National Provider Identifier
1508154055
Registry record updated Jul 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS004887 Issued in TN
Legal business name
DR.MELVIN DONESKY D.D.S.
Practice address
212 Forrest Ave.
New Tazewell, TN 37825
Phone
(423) 626-6565
NPI assigned
Jul 19, 2011
Last updated
Jul 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2011

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

Authorized official

Name
Dr. Melvin Keith DoneskyNPI 1295959021
Title
Dentist
Phone
(423) 626-6565

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
Dentist 122300000X DS004887 TN Primary

Addresses

Primary practice location

212 Forrest Ave.
New Tazewell, TN 37825

Mailing address

PO Box 684
New Tazewell, TN 37824-0684

National Provider Directory

National Provider Directory

Locations

212 Forrest Ave
Tazewell, TN 37879
Phone (423) 626-6565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1508154055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 684",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378240684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 FORREST AVE.",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "37825",
            "telephone_number": "423-626-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.MELVIN DONESKY D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "DONESKY",
        "authorized_official_first_name": "MELVIN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "423-626-6565",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS004887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.