Amanda Mayes, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

DH0000005098 Issued in TN

Practice address

2529 W Emory Rd
Powell, TN 37849-3712

Phone

(865) 947-2220

NPI assigned

Feb 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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.

• Kennedy Dentistry, P. C.

  • General Practice Dentistry
  • Powell, TN
  • NPI 1083625248
  NPD (past)

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1851090971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 LAKEVIEW LN",
            "city": "ANDERSONVILLE",
            "state": "TN",
            "postal_code": "377053703",
            "telephone_number": "865-803-6506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2529 W EMORY RD",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378493712",
            "telephone_number": "865-947-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYES",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "DH0000005098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Marks, CPNP
• McKenzie Martin
• Mitchell Dane Martin, MD
• Sarwat Masud, MD
• Pamela Hall Mathews
• Meredith L Mayfield, OT
• Chimezie Uchenna Mbachi, MD
• Michelle E McAlister, PHARMD
• Megan N McCarroll, PA-C
• Justin McClusky, DO

• Dental Hygienist in Powell, TN
• Providers in Powell, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.