Individual provider Active NPI

David Lyle Hunt, D.D.S.

  • Sleep Medicine (Family Medicine) Physician
  • Johnson City, TN
National Provider Identifier
1518051333
Registry record updated Jun 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
4267 Issued in TN
Practice address
110 Corporate Drive
Suite 140
Johnson City, TN 37604
Phone
(423) 946-0875
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QS1201X 4267 TN Primary

Addresses

Primary practice location

110 Corporate Drive
Suite 140
Johnson City, TN 37604

Mailing address

1304 Lake Ridge SQ
Johnson City, TN 37601-7402
Phone (423) 946-0875

Other practice location 1

603 Bert St Unit 12
Johnson City, TN 37601-5862
Phone (423) 232-7919

Other identifiers 1

IdentifierTypeStateIssuer
Q020656MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL oralsleepdevices@yahoo.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210618000337 TN Order and Referring Only - DentistPractitioner - Dentist 4880900299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Sleep Devices PLLC Single Specialty CurrentSince Jul 5, 2020 Accepting new patients
Affordable Dentures - Bluff City, P.C. Single Specialty Past Accepting new patients

Locations

110 Corporate Dr
Ste 140
Johnson City, TN 37604
Phone (423) 946-0875

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593216000000",
    "number": "1518051333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 LAKE RIDGE SQ",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376017402",
            "telephone_number": "423-946-0875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CORPORATE DRIVE",
            "address_2": "SUITE 140",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-946-0875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Bert St Unit 12",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376015862",
            "country_code": "US",
            "telephone_number": "423-232-7919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNT",
        "first_name": "DAVID",
        "middle_name": "LYLE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-06-27",
        "certification_date": "2020-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS1201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "TN",
            "license": "4267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020656",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "oralsleepdevices@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "Practice Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging",
            "address_1": "110 Corporate Drive",
            "address_2": "Suite 140",
            "city": "Johnson City",
            "state": "TN",
            "country_code": "US",
            "postal_code": "37604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.