Eben A Dearmond Jr.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3955 Issued in TN

Practice address

150 20TH St NW
Cleveland, TN 37311-3803

Phone

(423) 476-7696

Fax

(423) 476-4115

NPI assigned

Jun 12, 2008

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

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

Practice roles

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

• Dearmond and Jones DDS PC

  • General Practice Dentistry
  • Cleveland, TN
  • NPI 1588833461
  NPD (past) Authorized official

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

{
    "created_epoch": "1213228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1710147871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 20TH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113803",
            "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 ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113803",
            "telephone_number": "423-476-7696",
            "fax_number": "423-476-4115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEARMOND",
        "first_name": "EBEN",
        "middle_name": "A",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-12",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Lian Davis, PHARMD
• Michelle Goldman Davis, PA-C
• Tammy Lynn Davis, BCBA, LBA
• Lakita Dawston
• Dearmond and Jones DDS PC
• Amanda Kelley Deaton
• Judith L Dedeker, RN
• Shannon Brittany Dedmon, FNP
• Christina Delgman
• Angel Shana Delk

• General Practice Dentistry in Cleveland, TN
• Providers in Cleveland, 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 12, 2008; 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.