Highland Park Dental Center, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3559 Issued in TN

Legal business name

HIGHLAND PARK DENTAL CENTER, PC

Practice address

845 S Highland St
Memphis, TN 38111-4254

Phone

(901) 323-8488

Fax

(901) 323-8489

NPI assigned

Jul 9, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Sharad S Chitalia, D.D.S.

Title

President

Phone

(901) 323-8444

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215935614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 S HIGHLAND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114254",
            "telephone_number": "901-323-8488",
            "fax_number": "901-323-8489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S HIGHLAND ST",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381114254",
            "telephone_number": "901-323-8488",
            "fax_number": "901-323-8489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PARK DENTAL CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHITALIA",
        "authorized_official_first_name": "SHARAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-323-8444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3224393",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lillian Louise Higgins, PHARMD
• Patrick Ryan Higgins, D.O.
• Kimberly Michelle Higgs, CMSW
• High Point Dental
• Highland Medical Corp
• Highlands of Memphis LLC
• Highlands of Memphis, LLC
• Highly Favored Health PLLC
• Candace Hightower-Parks
• Betty Petkoff Hightower, LCSW

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.