Active NPI
Steven P Tipps, DDS
- Oral & Maxillofacial Surgery (D.M.D.)
- Chattanooga, TN
National Provider Identifier
1033112180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 3511
- Practice address
- 6015 Shallowford Road
Chattanooga, TN 37421-1688 - Phone
- (423) 893-3333
- Fax
- (423) 954-3054
- NPI assigned
- May 23, 2005
- Last updated
- Jul 1, 2016
- 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 3511 | TN | Primary |
Addresses
Primary practice location
6015 Shallowford Road
Chattanooga, TN 37421-1688
Mailing address
6015 Shallowford Road
Chattanooga, TN 37421-1688
Phone (423) 893-3333
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3225000 | Medicaid | TN | |
| 4665225 | Other | TN | AETNA PROVIDER NUMBER |
| 0050858 | Other | TN | BCBSTN PROVDER NUMBER |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3511 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles Dunlap, DDS | Past | Accepting new patients | |
| Professional Medical Properties, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Center for Oral Facial and Implant Surgery
- Oral and Maxillofacial Surgery Clinic/Center
- Chattanooga, TN
- NPI 1700970407
-
- Specialist
- Fort Oglethorpe, GA
- NPI 1225150964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467331200000",
"number": "1033112180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6015 SHALLOWFORD ROAD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211688",
"telephone_number": "423-893-3333",
"fax_number": "423-954-3054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 SHALLOWFORD ROAD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211688",
"telephone_number": "423-893-3333",
"fax_number": "423-954-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPS",
"first_name": "STEVEN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2016-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "TN",
"license": "3511",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3225000",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4665225",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTN PROVDER NUMBER",
"identifier": "0050858",
"state": "TN"
}
],
"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 Jul 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.