Organization Active NPI

Kevin G Hartman Estate

  • General Practice Dentistry
  • Greeneville, TN
National Provider Identifier
1982947974
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
KEVIN G HARTMAN ESTATE
Practice address
816 Tusculum Blvd
Suite 1
Greeneville, TN 37745-4092
Phone
(423) 636-1911
Fax
(423) 798-9962
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Lisa Covington
Title
Owner/ Office Manager
Phone
(423) 636-1911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

816 Tusculum Blvd
Suite 1
Greeneville, TN 37745-4092

Mailing address

816 Tusculum Blvd
Suite 1
Greeneville, TN 37745-4092
Phone (423) 636-1911

Other identifiers 1

IdentifierTypeStateIssuer
4344722OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

816 Tusculum Blvd
Ste 1
Greeneville, TN 37745
Phone (423) 636-1911

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1982947974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 TUSCULUM BLVD",
            "address_2": "SUITE 1",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454092",
            "telephone_number": "423-636-1911",
            "fax_number": "423-798-9962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 TUSCULUM BLVD",
            "address_2": "SUITE 1",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377454092",
            "telephone_number": "423-636-1911",
            "fax_number": "423-798-9962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN G HARTMAN ESTATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "COVINGTON",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER/ OFFICE MANAGER",
        "authorized_official_telephone_number": "423-636-1911"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4344722",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeneville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.