Active NPI
Juan R Aponte, DDS
- General Practice Dentistry
- Crossville, TN
National Provider Identifier
1831291236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0000011511
- Practice address
- 125 Brown Ave
Crossville, TN 38555-4795 - Phone
- (931) 484-7650
- NPI assigned
- Sep 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3572 | ME | |
| General Practice Dentistry | 1223G0001X | 0000011511 | TN | Primary |
Addresses
Primary practice location
125 Brown Ave
Crossville, TN 38555-4795
Mailing address
125 Brown Ave
Crossville, TN 38555-4795
Phone (931) 484-7650
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133650000 | Medicaid | ME | |
| 294110099 | Other | ME | MAINE CARE |
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 |
|---|---|---|---|
| 0000011511 | TN | MD | General Practice Dentistry |
| 3572 | ME | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Hill Family & Cosmetic Dentistry PC | Current | Accepting new patients | |
| Blue Hill Family & Cosmetic Dentistry PA | Past | Accepting new patients | |
| MDG Dental Ellsworth PA LLC | Past | Accepting new patients |
Locations
125 Brown Ave
Crossville, TN 38555
Phone (931) 456-2728
Organizations & group practices 3
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.
-
- Dental Clinic/Center
- Crossville, TN
- NPI 1962085324
-
- Dentist
- Blue Hill, ME
- NPI 1275728495
-
- Dental Clinic/Center
- Blue Hill, ME
- NPI 1558966259
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1831291236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 BROWN AVE",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554795",
"telephone_number": "931-484-7650",
"fax_number": "207-374-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 BROWN AVE",
"city": "CROSSVILLE",
"state": "TN",
"postal_code": "385554795",
"telephone_number": "931-484-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "APONTE",
"first_name": "JUAN",
"middle_name": "R",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-05",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "ME",
"license": "3572",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "0000011511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "133650000",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE CARE",
"identifier": "294110099",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Crossville, TN
- American Arthritis & Rheumatology Associates TN, PLLC
- American Home Medical LLC
- Hunt Dandridge Anderson, MD
- Sidney Norfleet Anthony IV, DDS
- Pamela Ann Aperans, RN
- Arehart Enterprises PLC
- Denise Ashley, LMSW
- Audiology Associates of Tennessee, Inc
- Audiology Associates of Tennessee, Inc.
- Audiology Management Services LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.