Johnson City Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS9209 Issued in TN

Legal business name

JOHNSON CITY DENTAL

Practice address

1720 W. Market St.
Johnson City, TN 37604-6021

Phone

(423) 282-0042

NPI assigned

Jun 26, 2015

Last updated

Jun 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nilam Patel, D.D.S.NPI 1770893760

Title

Owner

Phone

(423) 282-0042

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nilam Tulsidas Patel, D.D.S.

  • General Practice Dentistry
  • Johnson City, TN
  • NPI 1770893760
  Authorized official Same address or phone
• Tulsidas Patel, B.D.S.

  • General Practice Dentistry
  • Johnson City, TN
  • NPI 1174506794
  NPD (past)

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1689056624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 W. MARKET ST.",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046021",
            "telephone_number": "423-282-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 W. MARKET ST.",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376046021",
            "telephone_number": "423-282-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNSON CITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-282-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS4053",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS9209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Marshall Jewett DMD PLLC
• John McClellan Miller, MD
• Emmanuel Steven John, LCSW
• Michelle Leigh Johns, BS
• Johnson City Acupuncture and Herbs LLC
• Johnson City Emergency Physicians, PC
• Johnson City Eye Clinic PC
• Johnson City Eye Surgery Center
• Johnson City Group Health, LLC
• Johnson City Health Property Investors, LLC

• General Practice Dentistry in Johnson City, TN
• Providers in Johnson City, 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 Jun 26, 2015; 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.