Organization Active NPI

Greater Brainerd Dental PLLC

  • Dental Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1184566655
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GREATER BRAINERD DENTAL PLLC
Practice address
5612 Brainerd Rd Ste 100
Chattanooga, TN 37411-5310
Phone
(423) 485-1000
NPI assigned
Apr 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Authorized official

Name
Dr. Daniel Kim, DDSNPI 1376265736
Title
Dentist/Owner
Phone
(909) 645-4192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

5612 Brainerd Rd Ste 100
Chattanooga, TN 37411-5310

Mailing address

5612 Brainerd Rd Ste 100
Chattanooga, TN 37411-5310

National Provider Directory

National Provider Directory

Locations

5612 Brainerd Rd
#100
Chattanooga, TN 37411
Phone (423) 485-1000

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1775433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1184566655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5612 BRAINERD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5612 BRAINERD RD STE 100",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374115310",
            "telephone_number": "423-485-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER BRAINERD DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-06",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "909-645-4192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.

Verify at the official NPI Registry.