Jack Leslie Currey, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000001663 Issued in TN

Practice address

809 Ridgeway Ave
Signal Mountain, TN 37377

Phone

(423) 886-1160

NPI assigned

Dec 28, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• River Valley Dentistry Signal

  • Dental Clinic/Center
  • Signal Mountain, TN
  • NPI 1659175602
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598821233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 RIDGEWAY AVE",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "37377",
            "telephone_number": "423-886-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 RIDGEWAY AVE",
            "city": "SIGNAL MOUNTAIN",
            "state": "TN",
            "postal_code": "37377",
            "telephone_number": "423-886-1160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURREY",
        "first_name": "JACK",
        "middle_name": "LESLIE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000001663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "0033888",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Wessel Culwell
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• Dentist in Signal Mountain, TN
• Providers in Signal Mountain, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.