Kevin Hathorne, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

11969 Issued in TN

Practice address

4619 Sunflower Rd Apt 93
Knoxville, TN 37909-1457

Phone

(734) 649-7231

NPI assigned

Feb 18, 2020

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

Enrolled in CT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1581984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1841823895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4619 SUNFLOWER RD APT 93",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091457",
            "telephone_number": "734-649-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4619 SUNFLOWER RD APT 93",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379091457",
            "telephone_number": "734-649-7231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHORNE",
        "first_name": "KEVIN",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-18",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CT",
            "license": "12876",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Hatfield
• Hannah Mahamoud Hatfield
• Taylor Hatfield, PA-C
• Marissa Hathcock
• Jessica Hathorn
• Erica Hatmaker
• Janet Hatmaker
• Madelyn Luana Hatmaker
• Eric Hatten, DDS
• Arthur Thomas Hatton Sr., PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.