Active NPI
Todd Evans Ealy, D.D.S.
- General Practice Dentistry
- Ooltewah, TN
National Provider Identifier
1154311884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7992
- Practice address
- 9203 Lee Hwy
Suite 16
Ooltewah, TN 37363-6458 - Phone
- (423) 238-5744
- NPI assigned
- Oct 25, 2005
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7992 | TN | Primary |
Addresses
Primary practice location
9203 Lee Hwy
Suite 16
Ooltewah, TN 37363-6458
Mailing address
9203 Lee Hwy
Suite 16
Ooltewah, TN 37363-6458
Phone (423) 238-5744
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 |
|---|---|---|---|
| 7992 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Todd E. Ealy D.D.S. | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154311884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9203 LEE HWY",
"address_2": "SUITE 16",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636458",
"telephone_number": "423-238-5744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9203 LEE HWY",
"address_2": "SUITE 16",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636458",
"telephone_number": "423-238-5744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EALY",
"first_name": "TODD",
"middle_name": "EVANS",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "7992",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ooltewah, TN
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- Jennifer Dunlap, P.T.
- Heather Nicole Dunn, FNP-C
- Dynamic Dietetics
- Eagleton Assisted Living, LLC
- Cynthia Jean Eckert, APRN, MSN, FNP-C
- Tessa B Eckhardt, NP
- Kimini Amber Helton Edwards, CRNA
- Elk Valley Professional Affiliates, Inc. (SunCrest Home Health)
- Nicholas Eller, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.