Standifer Orthodontics, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4021 Issued in TN

Legal business name

STANDIFER ORTHODONTICS, PLLC

Practice address

1724 Hamill Rd
Suite 202
Hixson, TN 37343-5152

Phone

(423) 877-6485

NPI assigned

Nov 30, 2016

Last updated

Dec 5, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Dennis W Standifer, DDSNPI 1619968344

Title

Owner/President

Phone

(423) 877-6485

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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.

• Dennis W Standifer, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hixson, TN
  • NPI 1619968344
  NPD (past) Authorized official
• Sonia Bravo, D.M.D.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hixson, TN
  • NPI 1831622570
  NPD (past)

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1174066724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "SUITE 202",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-877-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 HAMILL RD",
            "address_2": "SUITE 202",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373435152",
            "telephone_number": "423-877-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANDIFER ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "STANDIFER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "423-877-6485",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "4021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001383",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neil Howard Spitalny, M.D.
• Rebecca Spivey, PMHNP-BC
• Sarah Spurling, RN, IBCLC
• Stained Glass Collective, PLLC.
• Stained Glass Counseling, PLLC (Stained Glass Counseling)
• Dennis W Standifer, DDS
• Stangel Functional Neurology
• James Alexander Stanko, MD
• Stanley Oral and Maxillofacial Surgery, PLLC (Elevate Oral Surgery)
• Jessica Stanley, FNP-BC

• Orthodontics and Dentofacial Orthopedics Dentistry in Hixson, TN
• Providers in Hixson, 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 Dec 5, 2016; 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.