Active NPI
Alisa A Cade, DDS
- Dentist
- Johnson City, TN
National Provider Identifier
1831265487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0006963
- Practice address
- 185 Treasure Lane
Johnson City, TN 37604-6519 - Phone
- (423) 979-3200
- Fax
- (423) 979-3267
- NPI assigned
- Nov 27, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0006963 | TN | Primary |
Addresses
Primary practice location
185 Treasure Lane
Johnson City, TN 37604-6519
Mailing address
121 Sylvan Drive
Kingsport, TN 37663
Phone (423) 239-9997
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q000925 | Medicaid | TN |
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 |
|---|---|---|---|
| DS0006963 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386028800000",
"number": "1831265487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "121 SYLVAN DRIVE",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "37663",
"telephone_number": "423-239-9997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 TREASURE LANE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046519",
"telephone_number": "423-979-3200",
"fax_number": "423-979-3267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CADE",
"first_name": "ALISA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2013-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0006963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q000925",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.