Active NPI
David Lyle Hunt, D.D.S.
- Sleep Medicine (Family Medicine) Physician
- Johnson City, TN
National Provider Identifier
1518051333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- 4267
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q020656 | Medicaid | TN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210618000337 | TN | Order and Referring Only - Dentist | 4880900299 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral Sleep Devices PLLC | Single Specialty | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.