James T. Deberry, Jr., DDS, Ms, PC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS2089 Issued in TN

Legal business name

JAMES T. DEBERRY, JR., DDS, MS, PC

Practice address

10261 Kingston Pike
Knoxville, TN 37922-3276

Phone

(865) 691-1404

Fax

(865) 691-0836

NPI assigned

Jan 6, 2014

Last updated

Jan 6, 2014By 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

James T Deberry, DDS

Title

Owner

Phone

(865) 691-1404

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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.

• Jeffery B Arrowood, DMD

  • Pediatric Dentistry
  • Knoxville, TN
  • NPI 1033135546
  NPD (past)

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388966400000",
    "number": "1194147421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10261 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223276",
            "telephone_number": "865-691-1404",
            "fax_number": "865-691-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223276",
            "telephone_number": "865-691-1404",
            "fax_number": "865-691-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES T. DEBERRY, JR., DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A",
        "authorized_official_last_name": "DEBERRY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-691-1404",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS2089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1225279359",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James E Fox MD PLLC (Active Pain Treatment)
• James F Murray PHD PLLC
• James F. Murray, PH.D., P.C.
• James H. Lindsay, Jr, M.D., P.C.
• James Macdonald Burkhart MD
• James T. Gillespie, Jr. MD, PC
• Amilia James, LCSW
• Andrea M James
• Jeffrey C James, CRNA
• Jesse Allen James, LPC/MHSP

• Pediatric Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2014; 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.