NPI 1255599130 · live from the CMS NPI Registry
Dennis Charles Desimone, D.O.
Obstetrics & Gynecology, Gynecologic Oncology in Kingsport, TN. National Provider Identifier 1255599130, active.
NPI record
| NPI | 1255599130 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Gynecologic Oncology 207VX0201X |
| Practice location | 2202 N John B Dennis Hwy Ste 204, Kingsport, TN 37660 |
| Practice phone | 423-245-1040 |
| Mailing address | 1021 W Oakland Ave Ste 310, Johnson City, TN 37604 |
| Enumerated | May 28, 2008 |
| Last updated | January 9, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology, Gynecologic Oncology primary | 207VX0201X | 5369 (TN) |
| Obstetrics & Gynecology, Gynecology | 207VG0400X | 20a17849 (CA) |
| Obstetrics & Gynecology, Gynecologic Oncology | 207VX0201X | 20A17849 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.