S. Grayson Eddy, D.D.S.,P.C.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DS 1916 Issued in TN

Legal business name

S. GRAYSON EDDY, D.D.S.,P.C.

Practice address

3221 W Governor John Sevier Hwy
Knoxville, TN 37920-5540

Phone

(865) 579-3000

Fax

(865) 579-3056

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Grayson Eddy Jr., D.D.S.NPI 1467783787

Title

President

Phone

(865) 579-3000

Specialties & licenses 1

Addresses

Practitioners 1

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

• Samuel Grayson Eddy Jr., D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Knoxville, TN
  • NPI 1467783787
  NPD (past) Authorized official

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188518400000",
    "number": "1215944988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 W GOVERNOR JOHN SEVIER HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205540",
            "telephone_number": "865-579-3000",
            "fax_number": "865-579-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 W GOVERNOR JOHN SEVIER HWY",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379205540",
            "telephone_number": "865-579-3000",
            "fax_number": "865-579-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. GRAYSON EDDY, D.D.S.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2007-08-31",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "GRAYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-579-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS 1916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dariya Nikolaevna Rybalka
• Cheryl Anne Ryerkerk, LCSW
• Chelsea Rylands, RBT
• John C. Rylands, MD
• Ashley Rymer, MS CCC-SLP
• Alexandra Z Saad
• Julianna Suzanne Saah, BA
• Jennifer Sabados
• Parker James Sabin
• Nitin Sachan, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; 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.