Ewing Jackson Threet II, DMD

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

10932 Issued in TN

Practice address

7333 Shallowford Rd
Chattanooga, TN 37421-2627

Phone

(276) 632-2634

NPI assigned

Apr 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: ethreet142663@direct.carilionclinic.org

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.

• Andrew Henritze DDS PLLC

  • General Practice Dentistry
  • Martinsville, VA
  • NPI 1699318410
  NPD (past)
• Andrew W Henritze DDS PLLC

  dba Henritze dental Group

  • General Practice Dentistry
  • Roanoke, VA
  • NPI 1710478110
  NPD (past)

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1164954582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7333 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7333 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212627",
            "telephone_number": "276-632-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THREET",
        "first_name": "EWING",
        "middle_name": "JACKSON",
        "name_suffix": "II",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-03",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401417624",
            "primary": false
        },
        {
            "code": "125Q00000X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral Medicine",
            "state": "VA",
            "license": "0401417624",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "10932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belinda Thornton, M.S.
• Melinda Thornton
• Rodney Lamar Thornton Sr., LMT
• Jaime Sue Threadgill, D.PH.
• James Timothy Threadgill, D.PH.
• Amanda Carter Threlkeld, M.D.
• Thrive Therapy Center LLC
• Thrivepoint, PLLC
• Thriveworks Telepsychiatry - Tennessee
• Thriving Roots Haven Incorporated

• Endodontics in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Endodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; 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.