Enoch Matison Hammon Jr., D. D. S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

01872 Issued in TN

Practice address

4841 Hixson Pike Ste E
Hixson, TN 37343-4431

Phone

(423) 877-5242

Fax

(423) 877-5261

NPI assigned

Aug 31, 2006

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

State licenses

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679684005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 LOWER MILL RD",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373432908",
            "telephone_number": "423-842-2723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4841 HIXSON PIKE STE E",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434431",
            "telephone_number": "423-877-5242",
            "fax_number": "423-877-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMON",
        "first_name": "ENOCH",
        "middle_name": "MATISON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D. D. S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "01872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krissa M Guess, APRN, FNP-C
• Deepa Gurusamy, MD
• Gustavo Moretta Dentistry, PLLC
• Heather Nicole Haberhern, OT
• Asghar Haider, MD
• Elizabeth Ruth Ann Hampton, ADULT NURSE PRACTITI
• Rebecca Hampton
• Holly Hanna, DPT
• Sarah Kate Harding, PT
• Brittany Harris, BCBA

• General Practice Dentistry in Hixson, TN
• Providers in Hixson, TN by specialty
• General Practice Dentistry 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.
• 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.