Individual provider

Jack Gotcher, D.M.D,PH.D.

Oral and Maxillofacial Surgery (Dentist) Medicare enrolled

Jack Gotcher, D.M.D,PH.D. is a provider specialising in Oral and Maxillofacial Surgery (Dentist) in Knoxville, TN, registered under NPI 1619967676. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.

Getting there

The practice address on file is 1928 ALCOA HWY SUITE 305, Knoxville, TN 37920. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1928 ALCOA HWY SUITE 305, Knoxville, TN 37920 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DS0000003654 TN Oral and Maxillofacial Surgery (Dentist) primary

This provider holds licence DS0000003654 issued in TN. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Oral Surgery
PAC ID
5597678342
Enrollment ID
I20101222000145

Medicare enrolment is recorded as approved under the provider type Practitioner - Oral Surgery. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Oral and Maxillofacial Surgery covers

The specialty of dentistry which includes 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. NUCC Health Care Provider Taxonomy, code 1223S0112X
Dental Providers Dentist Oral and Maxillofacial Surgery

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1619967676 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateOct 21, 2005
Last updatedNov 4, 2010
StatusActive
Sole proprietorYes
CredentialD.M.D,PH.D.
Practice address 1928 ALCOA HWY
SUITE 305
Knoxville, TN 37920
(865) 305-6625
Fax (865) 305-6628
Mailing address PO BOX 440103
Nashville, TN 37244
Other identifiers 3224964 · Medicaid (TN)
This record was last updated on Nov 4, 2010, roughly 15 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1619967676 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 1 9 9 6 7 6 7
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 2 9 9 6 5 6 5

Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1619967676?
NPI 1619967676 is the National Provider Identifier assigned to Jack Gotcher, D.M.D,PH.D. in Knoxville, TN. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Oral and Maxillofacial Surgery cover?
The specialty of dentistry which includes 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.
How do I contact Jack Gotcher, D.M.D,PH.D.?
The phone number on file with NPPES is (865) 305-6625, last updated Nov 4, 2010. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jack Gotcher, D.M.D,PH.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1619967676 a valid number?
Yes. 1619967676 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.