Andrew Rex Patten, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

10153 Issued in TN

Practice address

2939 Essary Dr Ste 2
Knoxville, TN 37918-2464

Phone

(865) 687-1886

NPI assigned

Sep 14, 2015

Last updated

Sep 14, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442188800000",
    "number": "1578931119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1549 WINDRIDGE PL",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378037719",
            "telephone_number": "865-684-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 ESSARY DR STE 2",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182464",
            "telephone_number": "865-687-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTEN",
        "first_name": "ANDREW",
        "middle_name": "REX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Taylor Patrick, MD
• Terrell Patrick
• Tinsley Patrick, MD
• Whitney Paige Patrick, SLP
• Timothy David Patru, M.D.
• Patterns Behavioral Services Tennessee Inc
• Amanda Dezere'a Patterson, LMSW
• Cherain Patterson, CNA
• Erin Patterson, NP-C
• Jill Marie Patterson, FNP

• Dentist in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.

Verify at the official NPI Registry.