Dentalworks, Dr. Dietz & Associates (Park Avenue), P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C.

Practice address

5180 Park Ave
Suite 210
Memphis, TN 38119-3530

Phone

(901) 763-0850

Fax

(216) 584-1207

NPI assigned

Jan 25, 2006

Organization subpart

Yes

Parent organization

DENTALONE PARTNERS, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. James G Dietz Jr., DMD

Title

Dentist/Owner

Phone

(901) 763-0850

Specialties & licenses 7

Addresses

Part of

Dental One Inc

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Alyssia Henderson

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1992200364
  NPD (past)
• Scott Christian Jackson

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1669115770
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1023088523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 860036",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554860036",
            "telephone_number": "901-763-0850",
            "fax_number": "216-584-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 PARK AVE",
            "address_2": "SUITE 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193530",
            "telephone_number": "901-763-0850",
            "fax_number": "216-584-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTALWORKS, DR. DIETZ & ASSOCIATES (PARK AVENUE), P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTALONE PARTNERS, INC",
        "enumeration_date": "2006-01-25",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "DIETZ",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "901-763-0850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dental Practice Group of Tennessee (Brookhaven Family Dentistry)
• Dental Practice Group of Tennessee, PLLC (Children's Dentistry of Red Bank)
• Dental Practice Group of TN
• Dental Sleep Solutions Memphis PLLC
• Dentalworks, Dr. Dietz & Associates (Austin Peay), P.C.
• Dentistryone of Tennessee PC
• Alicia Denton, LPC-MHSP
• Emily Denton, CPNP-AC
• Lindsey Denton
• Tracy L Denton, MSSW

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.