JOSEPH ROMAN MORT
NPI 1114346137
Dentist - Oral and Maxillofacial Surgery in Hendersonville, TN

Active since April 08, 2014Opted out of Medicare · through Nov 10, 2026
131 INDIAN LAKE BLVD STE 100, HENDERSONVILLE, TN 37075(615) 822-8403 Get Directions Write a Review

NPPES record last updated: August 15, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Joseph Roman Mort NPPES

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

JOSEPH ROMAN MORT (NPI 1114346137) is an individual oral and maxillofacial surgery provider in Hendersonville, Tennessee, licensed in Tennessee (DS0000010524) and active in the NPI registry since April 2014. He has opted out of Medicare through November 10, 2026.

NPPES Registry Identity

NPI1114346137
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJOSEPH ROMAN MORT
Location Address131 INDIAN LAKE BLVD STE 100Hendersonville, TN 37075
Mailing Address131 Indian Lake Blvd Ste 100Hendersonville, TN 37075-6207 · (615) 822-8403
Sole ProprietorNo
Enumeration DateApril 8, 2014
Last NPPES UpdateAugust 15, 2018
NPI 1114346137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in TN · DS0000010524
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
131 INDIAN LAKE BLVD STE 100, Hendersonville, TN 37075

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Joseph Roman Mort has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 10, 2022 through November 10, 2026.

Opt-Out Effective DateNovember 10, 2022
Opt-Out In Effect ThroughNovember 10, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
131 INDIAN LAKE BLVD STE 100
HENDERSONVILLE, TN 37075

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 Joseph Mort's NPI number?

The NPI number for Joseph Mort is 1114346137. It was assigned to this individual provider in the NPPES registry on April 8, 2014.

Where is Joseph Mort located?

Joseph Mort practices at 131 Indian Lake Blvd Ste 100, Hendersonville, TN 37075. The listed phone number is (615) 822-8403.

What is Joseph Mort's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Joseph Mort enrolled in Medicare?

No. Joseph Mort has opted out of Medicare through November 10, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Joseph Mort accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 8 other insurers list Joseph Mort 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 Joseph Mort was last updated on August 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.