Pulitzer Orthodontics, LLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

PULITZER ORTHODONTICS, LLC

Practice address

1200 Pulitzer Place
Kingsport, TN 37660

Phone

(423) 246-3001

Fax

(423) 765-9039

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Melissa Brake

Title

Business Office Manager

Phone

(423) 246-3001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Kristopher Jacob Keller, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Kingsport, TN
  • NPI 1730650037
  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1053813527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PULITZER PLACE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-246-3001",
            "fax_number": "423-765-9039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PULITZER PLACE",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "37660",
            "telephone_number": "423-246-3001",
            "fax_number": "423-765-9039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULITZER ORTHODONTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "BRAKE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "423-246-3001"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PT Solutions LLC (PT Solutions of VA)
• Austin James Puchany, DO
• Alicia Leeann Pugh, FNP-BC
• Jessica Elise Pugh, MD
• Thomas F. Pugh Jr., M.D.
• Cynthia Norris Pulitzer, D.D.S.
• Samuel Flettrich Pulitzer, D.D.S.
• Venkata Siva Krishna Pulivarthi, MD
• Pulmonary Associates of Kingsport
• Pulmonary Associates of Kingsport (Sleep Evaluation Center)

• Orthodontics and Dentofacial Orthopedics Dentistry in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.