DR. MARVIN CLAY KOONCE DDS
NPI 1184805731
Dentist - General Practice in Shelbyville, TN
About Dr. Marvin Clay Koonce Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARVIN CLAY KOONCE DDS (NPI 1184805731) is an individual general practice provider in Shelbyville, Tennessee, licensed in Tennessee (2322) and active in the NPI registry since November 2007. He has opted out of Medicare through August 18, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
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
Dr. Marvin Clay Koonce Dds 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 August 18, 2016 through August 18, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37160 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Marvin Koonce's NPI number?
The NPI number for Marvin Koonce is 1184805731. It was assigned to this individual provider in the NPPES registry on November 23, 2007.
Where is Marvin Koonce located?
Marvin Koonce practices at 603 N Main St, Shelbyville, TN 37160. The listed phone number is (931) 684-2445.
What is Marvin Koonce's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Marvin Koonce enrolled in Medicare?
No. Marvin Koonce has opted out of Medicare through August 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Marvin Koonce accept?
Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 6 other insurers list Marvin Koonce 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 Marvin Koonce was last updated on November 23, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Marvin Clay Koonce, DDS · NPI 1184805731
General Practice provider in Shelbyville, Tennessee. Individual provider, active in the CMS NPPES registry since November 23, 2007.
## Identity
- **NPI:** 1184805731 (Entity type: Individual)
- **Enumerated:** November 23, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 2322 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 603 N MAIN ST, Shelbyville, TN 37160-3210
- **Phone:** (931) 684-2445
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through August 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** November 23, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1184805731) · Data from the CMS NPPES public registry.