Derek Alan Osborne, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5136 Issued in TN

Practice address

2931 Essary Dr
Suite #1
Knoxville, TN 37918-2404

Phone

(865) 687-3203

Fax

(865) 687-3299

NPI assigned

Jul 27, 2006

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.

• Trivette and Osborne, PLLC

  • Dental Clinic/Center
  • Knoxville, TN
  • NPI 1740430685
  NPD (past) Authorized official
• Trivette, Osborne & Mays, PLLC

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1255749339
  NPD (past) Authorized official
• T&O Dental Airway Solutions LLC

  • Customized Equipment (DME)
  • Knoxville, TN
  • NPI 1346808862
  NPD (past)

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730103151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2931 ESSARY DR",
            "address_2": "SUITE #1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182404",
            "telephone_number": "865-687-3203",
            "fax_number": "865-687-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 ESSARY DR",
            "address_2": "SUITE #1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379182404",
            "telephone_number": "865-687-3203",
            "fax_number": "865-687-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORNE",
        "first_name": "DEREK",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "5136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Orwick-Barnes, DDS, PC
• Alyssa Osborn, M.S., CCC-SLP
• Emily Osborn
• Erin R Osborn, FNP
• Kyle James Osborn, MD
• Jessica Irene Osborne
• Kristi Osborne, ARNP
• Mary Nelle Osborne, PHD
• Oscar H Grandas MD PLLC
• Gary D. Oshaughnessy, D.O.

• Dentist in Knoxville, TN
• Providers in Knoxville, 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.
• 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.