DR. ELLIOTT T. DEWEESE D.M.D., M.S.D.
NPI 1013304724
Dentist - Periodontics in Hermitage, TN

Q: What is Elliott Deweese's NPI number?

The NPI number for Elliott Deweese is 1013304724. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Elliott Deweese's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Q: When was this NPI record last updated?

The NPPES record for Elliott Deweese was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2015PECOS Enrolled

5651 FRIST BLVD STE 314, HERMITAGE, TN 37076(615) 316-9872(615) 885-9065 Get Directions Write a Review

NPPES record last updated: December 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2022, Aug 22, 2018 (2 updates tracked since 2018).

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About Dr. Elliott T. Deweese D.m.d., M.s.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELLIOTT T. DEWEESE D.M.D., M.S.D. (NPI 1013304724) is an individual periodontics provider in Hermitage, Tennessee, licensed in Illinois (021-002881) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013304724

Entity TypeIndividualMale

Primary Taxonomy1223P0300X

Provider Legal NameDR. ELLIOTT T. DEWEESECredential: D.M.D., M.S.D.

Location Address5651 FRIST BLVD STE 314Hermitage, TN 37076-2057

Mailing Address5651 Frist Blvd Ste 314Hermitage, TN 37076-2057 · (615) 316-9872 · Fax (615) 885-9065

Phone(615) 316-9872

Fax(615) 885-9065

Sole ProprietorYes

Enumeration DateApril 20, 2015

Last NPPES UpdateDecember 12, 20222 updates tracked since enumeration

NPPES CertifiedDecember 12, 2022

✔ NPI 1013304724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IL · 021-002881

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5651 FRIST BLVD STE 314, Hermitage, TN 37076

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Elliott T. Deweese D.m.d., M.s.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elliott Deweese's NPI number?

The NPI number for Elliott Deweese is 1013304724. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Elliott Deweese located?

Elliott Deweese practices at 5651 Frist Blvd Ste 314, Hermitage, TN 37076. The listed phone number is (615) 316-9872.

What is Elliott Deweese's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Elliott Deweese enrolled in Medicare?

Yes. Elliott Deweese is registered in the Medicare PECOS enrollment system.

What insurance does Elliott Deweese accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 10 other insurers list Elliott Deweese as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elliott Deweese was last updated on December 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.