Red Leaf Orthodontics PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RED LEAF ORTHODONTICS PLLC

Practice address

1414 Jenkins Rd Ste 146a
Chattanooga, TN 37421-3470

Phone

(423) 541-3777

NPI assigned

Apr 27, 2021

Organization subpart

No

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

Authorized official

Name

Jefferson Twomley, DDS, MSDNPI 1568996999

Title

Owner, Doctor

Phone

(504) 239-2498

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jefferson Twomley, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chattanooga, TN
  • NPI 1568996999
  NPD Authorized official

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619481600000",
    "number": "1194307330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 JENKINS RD STE 146A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213470",
            "telephone_number": "423-541-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 JENKINS RD STE 146A",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213470",
            "telephone_number": "423-541-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED LEAF ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A",
        "authorized_official_last_name": "TWOMLEY",
        "authorized_official_first_name": "JEFFERSON",
        "authorized_official_title_or_position": "OWNER, DOCTOR",
        "authorized_official_telephone_number": "504-239-2498",
        "authorized_official_credential": "DDS, MSD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.