University of Tennessee

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

UNIVERSITY OF TENNESSEE

Practice address

875 Union Ave
N-328 Dunn
Memphis, TN 38103-3513

Phone

(901) 448-6236

Fax

(901) 448-5480

NPI assigned

Oct 26, 2006

Last updated

Aug 28, 2015By 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

Ms. Carriann Bingham

Title

Billing Manager

Phone

(901) 448-2801

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• University of Tennessee

  • Family Medicine Physician
  • Covington, TN
  • NPI 1407858897

  O20031119000671

  Same enrollment
• University of Tennessee

  • Oral and Maxillofacial Pathology Dentistry
  • Memphis, TN
  • NPI 1487723094

  O20031119000671

  Same enrollment
• University of Tennessee

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1598767980

  O20031119000671

  Same enrollment
• University of Tennessee

  • Family Medicine Physician
  • Memphis, TN
  • NPI 1780686170

  O20031119000671

  Same enrollment
• University of Tennessee

  • Family Medicine Physician
  • Jackson, TN
  • NPI 1780686436

  O20031119000671

  Same enrollment

Locations

Practitioners 4

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.

• Kenneth Mark Anderson, DDS,MS

  • Oral and Maxillofacial Pathology Dentistry
  • Memphis, TN
  • NPI 1245316017
  NPD
• Nicholas Mechas, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Champaign, IL
  • NPI 1164886362
  NPD
• Brett Allen Wilson, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Memphis, TN
  • NPI 1386025963
  NPD (past)
• Shelby Branson Story, DDS

  • Student in an Organized Health Care Education/Training Program
  • Loma Linda, CA
  • NPI 1275323784
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1215012430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 UNION AVENUE",
            "address_2": "N-328 DUNN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381160001",
            "telephone_number": "901-448-6236",
            "fax_number": "901-448-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE",
            "address_2": "N-328 DUNN",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033513",
            "telephone_number": "901-448-6236",
            "fax_number": "901-448-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "CARRIANN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "901-448-2801",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• University of Tennesse Health Science Center
• University of Tennesse, Memphis
• University of Tennessee
• University of Tennessee
• University of Tennessee (Univ. of TN Health Science Center College of Nursing)
• University of Tennessee
• University of Tennessee (University Therapists)
• University of Tennessee (Center on Developmental Disabilities)
• University of Tennessee
• University of Tennessee

• Oral and Maxillofacial Surgery (Dentist) in Memphis, TN
• Providers in Memphis, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.