NPIMap

Organization Active NPI

East Brainerd Family Dentistry PLLC

  • General Practice Dentistry
  • Chattanooga, TN
National Provider Identifier
1033386313
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8262 Issued in TN
Legal business name
EAST BRAINERD FAMILY DENTISTRY PLLC
Practice address
8190 E Brainerd Rd
Chattanooga, TN 37421-4301
Phone
(423) 892-8169
NPI assigned
May 14, 2008
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Charles McDowell Hooper III, D.D.S.NPI 1043488133
Title
Co Owner
Phone
(423) 892-8169

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8262 TN Primary

Addresses

Primary practice location

8190 E Brainerd Rd
Chattanooga, TN 37421-4301

Mailing address

8190 E Brainerd Rd
Chattanooga, TN 37421-4301
Phone (423) 892-8169

Other identifiers 1

IdentifierTypeStateIssuer
6951150001OtherTNMEDICARE DMEPOS

National Provider Directory

National Provider Directory

Locations

8190 E Brainerd Rd
Chattanooga, TN 37421
Phone (423) 892-8169

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1033386313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8190 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214301",
            "telephone_number": "423-892-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8190 E BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214301",
            "telephone_number": "423-892-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST BRAINERD FAMILY DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "HOOPER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MCDOWELL",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "423-892-8169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DMEPOS",
            "identifier": "6951150001",
            "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 Jan 21, 2014; 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.