Active NPI
Carli Loss, DDS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Knoxville, TN
National Provider Identifier
1073012514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 11224
- Practice address
- 11221 W Point Dr
Knoxville, TN 37934-2838 - Phone
- (865) 777-5700
- NPI assigned
- Feb 11, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 11224 | TN | Primary |
Addresses
Primary practice location
11221 W Point Dr
Knoxville, TN 37934-2838
Mailing address
11221 W Point Dr
Knoxville, TN 37934-2838
Other practice location 1
4433 U.S. HWY 321 North
Lenoir City, TN 37771
Phone (865) 816-6710
Other names 1
- Miss Carli Antor
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 |
|---|---|---|---|
| 11224 | TN | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hicks Orthodontics | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Knoxville, TN
- NPI 1730266594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677110400000",
"number": "1073012514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11221 W POINT DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11221 W POINT DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379342838",
"telephone_number": "865-777-5700"
}
],
"practiceLocations": [
{
"address_1": "4433 U.S. HWY 321 North",
"address_purpose": "LOCATION",
"city": "Lenoir City",
"state": "TN",
"postal_code": "37771",
"country_code": "US",
"telephone_number": "865-816-6710",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOSS",
"first_name": "CARLI",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-11",
"last_updated": "2023-02-23",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "11224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CARLI",
"last_name": "ANTOR",
"prefix": "MISS",
"credential": "DDS",
"code": "1",
"type": "Former Name"
}
]
}
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 Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.