Daniel McGovern, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

11033 Issued in TN

Practice address

4141 Ringgold Rd
East Ridge, TN 37412

Phone

(423) 698-3607

NPI assigned

Mar 27, 2018

Last updated

Jul 12, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1952806507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "374122465",
            "telephone_number": "229-886-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 RINGGOLD RD",
            "city": "EAST RIDGE",
            "state": "TN",
            "postal_code": "37412",
            "telephone_number": "423-698-3607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Interstate Dr NW",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373122642",
            "country_code": "US",
            "telephone_number": "423-479-6005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4141 Ringgold Rd",
            "address_purpose": "LOCATION",
            "city": "East Ridge",
            "state": "TN",
            "postal_code": "37412",
            "country_code": "US",
            "telephone_number": "423-698-3607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGOVERN",
        "first_name": "DANIEL",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11033",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "DN015650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline A Lolay
• Loving Hands Caregiver
• Laura Andrei Martin, PHARMD
• Elizabeth Masengil, DPT
• Teresa Annette McBrayer, LMT
• Evan McKenzie, PA-C
• Kiley Miliano, CNM
• Catherine Murph Mitchell
• Jack Money, RPH
• Kenneth Shane Morgan, PTA

• Dentist in East Ridge, TN
• Providers in East Ridge, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.