DR. MIKE DOUGLAS MYSINGER D.D.S.
NPI 1366430597
Dentist - Pediatric Dentistry in Knoxville, TN

Q: What is Mike Mysinger's NPI number?

The NPI number for Mike Mysinger is 1366430597. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Q: What is Mike Mysinger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Mike Mysinger was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 October 12, 2005

120 CAPITAL DR, SUITE 101, KNOXVILLE, TN 37922(865) 693-7070(865) 693-7317 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Mike Douglas Mysinger D.d.s. NPPES

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

DR. MIKE DOUGLAS MYSINGER D.D.S. (NPI 1366430597) is an individual pediatric dentistry provider in Knoxville, Tennessee, licensed in Tennessee (6841) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1366430597

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. MIKE DOUGLAS MYSINGERCredential: D.D.S.

Location Address120 CAPITAL DR, SUITE 101Knoxville, TN 37922-3478

Mailing Address120 Capital Dr, Suite 101Knoxville, TN 37922-3478 · (865) 693-7070 · Fax (865) 693-7317

Phone(865) 693-7070

Fax(865) 693-7317

Sole ProprietorYes

Enumeration DateOctober 12, 2005

Last NPPES UpdateMarch 23, 2017

✔ NPI 1366430597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in TN · 6841

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

120 CAPITAL DR, Knoxville, TN 37922

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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 Mike Mysinger's NPI number?

The NPI number for Mike Mysinger is 1366430597. It was assigned to this individual provider in the NPPES registry on October 12, 2005.

Where is Mike Mysinger located?

Mike Mysinger practices at 120 Capital Dr Suite 101, Knoxville, TN 37922. The listed phone number is (865) 693-7070.

What is Mike Mysinger's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mike Mysinger 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 list Mike Mysinger 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 Mike Mysinger was last updated on March 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.