Active NPI
Wallace Carlo Hoskins, DDS
- General Practice Dentistry
- Blountville, TN
National Provider Identifier
1811058704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5285
- Practice address
- 975 Emergency Road
Blountville, TN 37617-0630 - Phone
- (423) 279-2677
- Fax
- (426) 323-2268
- NPI assigned
- Dec 13, 2006
- Last updated
- Mar 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5285 | TN | Primary |
Addresses
Primary practice location
975 Emergency Road
Blountville, TN 37617-0630
Mailing address
2017 Westwind Dr
Kingsport, TN 37660-3444
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Sullivan | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Sullivan County Health Department
- Public Health or Welfare Agency
- Blountville, TN
- NPI 1689896268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299715200000",
"number": "1811058704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2017 WESTWIND DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376603444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 EMERGENCY ROAD",
"city": "BLOUNTVILLE",
"state": "TN",
"postal_code": "376170630",
"telephone_number": "423-279-2677",
"fax_number": "426-323-2268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSKINS",
"first_name": "WALLACE",
"middle_name": "CARLO",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2011-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "5285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blountville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.