Organization Active NPI

Dearmond and Jones DDS PC

  • General Practice Dentistry
  • Cleveland, TN
National Provider Identifier
1588833461
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3955 Issued in TN
Legal business name
DEARMOND AND JONES DDS PC
Practice address
150 20TH Street NW
Cleveland, TN 37311
Phone
(423) 476-7696
Fax
(423) 476-4115
NPI assigned
Feb 26, 2008
Organization subpart
Yes
Parent organization
DEARMOND AND JONES DDS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Eben A Dearmond Jr., DDSNPI 1710147871
Title
President Owner
Phone
(423) 476-7696

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS3955 TN Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X DS4665 TN

Addresses

Primary practice location

150 20TH Street NW
Cleveland, TN 37311

Mailing address

150 20TH Street NW
Cleveland, TN 37311
Phone (423) 476-7696

National Provider Directory

National Provider Directory
Part of
Dearmond and Jones DDS PC

Locations

150 20th St NW
Cleveland, TN 37311
Phone (423) 476-7696

Practitioners & affiliated clinicians

Practitioners 1

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1588833461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 20TH STREET NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-476-7696",
            "fax_number": "423-476-4115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 20TH STREET NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "423-476-7696",
            "fax_number": "423-476-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARMOND AND JONES DDS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEARMOND AND JONES DDS PC",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "DEARMOND",
        "authorized_official_first_name": "EBEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "423-476-7696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3955",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.