Active NPI
Carlton Baskin, DDS
- General Practice Dentistry
- Chattanooga, TN
National Provider Identifier
1003407461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11459
- Practice address
- 4727 Brainerd Rd
Chattanooga, TN 37411-3847 - Phone
- (423) 622-4869
- NPI assigned
- Jan 28, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11459 | TN | Primary |
Addresses
Primary practice location
4727 Brainerd Rd
Chattanooga, TN 37411-3847
Mailing address
208 Integra Vistas Dr Apt 312
Hixson, TN 37343-5450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11459 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kudzai Chikwawa DDS LLC Aspire Dentistry | General Practice | Current | Accepting new patients |
Locations
4727 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 622-4869
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1003407461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 INTEGRA VISTAS DR APT 312",
"city": "HIXSON",
"state": "TN",
"postal_code": "373435450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4727 BRAINERD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374113847",
"telephone_number": "423-622-4869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASKIN",
"first_name": "CARLTON",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.