Active NPI
Meaghan Elyce Guest Wolfe, DMD
- Dentist
- Kingsport, TN
National Provider Identifier
1801923974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8420
- Practice address
- 2975 Fort Henry Dr
Kingsport, TN 37664-4005 - Phone
- (423) 247-2151
- Fax
- (423) 247-1594
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4135 | SC | |
| Dentist | 122300000X | 8420 | TN | Primary |
Addresses
Primary practice location
2975 Fort Henry Dr
Kingsport, TN 37664-4005
Mailing address
2975 Fort Henry Drive
Kingsport, TN 37664
Phone (423) 247-2151
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4135 | Other | SC | DENTIST |
| 8420 | Other | TN | DENTIST |
Other names 1
- Meaghan Elyce Guest
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8420 | TN | MD | Clinical Social Worker |
| 4135 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles E Guest DDS PC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Kingsport, TN
- NPI 1104954387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1801923974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 FORT HENRY DRIVE",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37664",
"telephone_number": "423-247-2151",
"fax_number": "423-247-1594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 FORT HENRY DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376644005",
"telephone_number": "423-247-2151",
"fax_number": "423-247-1594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEST WOLFE",
"first_name": "MEAGHAN",
"middle_name": "ELYCE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "SC",
"license": "4135",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "8420",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "4135",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTIST",
"identifier": "8420",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MEAGHAN",
"last_name": "GUEST",
"middle_name": "ELYCE",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.