Active NPI
Paul Vincent Muscari, D.D.S.
- General Practice Dentistry
- Morristown, TN
National Provider Identifier
1912158189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS2797
- Practice address
- 836 W 1St North St
Morristown, TN 37814-4548 - Phone
- (423) 587-2660
- Fax
- (423) 307-8796
- NPI assigned
- Oct 7, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS2797 | TN | Primary |
Addresses
Primary practice location
836 W 1St North St
Morristown, TN 37814-4548
Mailing address
PO Box 711
Morristown, TN 37815-0711
Phone (423) 587-2660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 861042 | Other | UNITED CONCORDIA PROVIDER NUMBER | |
| 2008465 | Other | TN | BLUE CROSS BLUE SHIELD PROVIDER NUMBER |
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 |
|---|---|---|---|
| DS2797 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223337600000",
"number": "1912158189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 711",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378150711",
"telephone_number": "423-587-2660",
"fax_number": "423-307-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "836 W 1ST NORTH ST",
"city": "MORRISTOWN",
"state": "TN",
"postal_code": "378144548",
"telephone_number": "423-587-2660",
"fax_number": "423-307-8796"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUSCARI",
"first_name": "PAUL",
"middle_name": "VINCENT",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS2797",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER NUMBER",
"identifier": "861042",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD PROVIDER NUMBER",
"identifier": "2008465",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morristown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.