Active NPI
Christy Sue King, RDH
- Dental Hygienist
- Knoxville, TN
National Provider Identifier
1023869047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 00005275
- Practice address
- 2939 Essary Dr Ste 2
Knoxville, TN 37918-2464 - Phone
- (865) 672-6525
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 00005275 | TN | Primary |
Addresses
Primary practice location
2939 Essary Dr Ste 2
Knoxville, TN 37918-2464
Mailing address
2074 Maynardville Hwy
Maynardville, TN 37807-3014
Phone (865) 254-9147
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 |
|---|---|---|---|
| 00005275 | TN | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711584000000",
"number": "1023869047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2074 MAYNARDVILLE HWY",
"city": "MAYNARDVILLE",
"state": "TN",
"postal_code": "378073014",
"telephone_number": "865-254-9147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2939 ESSARY DR STE 2",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379182464",
"telephone_number": "865-672-6525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "CHRISTY",
"middle_name": "SUE",
"name_prefix": "Mrs.",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "TN",
"license": "00005275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.