Perry L Joiner III, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DS0000010179 Issued in TN

Practice address

4260 Fort Henry Dr Ste 13
Kingsport, TN 37663-2248

Phone

(423) 239-6594

NPI assigned

Jun 24, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joiner Dental

  • Dental Clinic/Center
  • Waynesboro, VA
  • NPI 1184280109
  NPD Authorized official

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1841639853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 COOKS VALLEY RD",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376645121",
            "telephone_number": "770-883-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 FORT HENRY DR STE 13",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376632248",
            "telephone_number": "423-239-6594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER",
        "first_name": "PERRY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416452",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000010179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nekisha S. Johnson, NP
• Sarah Elizabeth Johnson, FNP
• Seth D Johnson, CRNA
• Toby N Johnson, M.A., CCC-A
• William Kendall Johnson, PAC
• Broughton D Jolley, MD
• Aaron Michelle Strouth Jones
• Alisha Jones, FNP
• Blakely Kyle Jones, O.D.
• Brandon Douglas Jones, PA-C

• Dentist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.