Active NPI
Kevin G Hartman Estate
- General Practice Dentistry
- Greeneville, TN
National Provider Identifier
1982947974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4344722 | Other | TN | BCBS |
National Provider Directory
National Provider DirectoryLocations
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.