Individual provider Active NPI

Sean Toomey, DDS

  • General Practice Dentistry
  • Sevierville, TN
National Provider Identifier
1841552361
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9494 Issued in TN
Practice address
1106 Glennhill LN
Sevierville, TN 37862-6915
Phone
(865) 429-4333
NPI assigned
Jun 11, 2012
Last updated
Jun 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9494 TN Primary

Addresses

Primary practice location

1106 Glennhill LN
Sevierville, TN 37862-6915

Mailing address

1106 Glennhill LN
Sevierville, TN 37862-6915
Phone (865) 429-4333

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160614001677 TN Order and Referring Only - DentistPractitioner - Dentist 2365733821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9494TNMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1841552361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 GLENNHILL LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626915",
            "telephone_number": "865-429-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 GLENNHILL LN",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378626915",
            "telephone_number": "865-429-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOMEY",
        "first_name": "SEAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

Verify at the official NPI Registry.