NPIMap

Organization Active NPI

University of Tennessee

  • Dentist
  • Kingsport, TN
National Provider Identifier
1255178786
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
UNIVERSITY OF TENNESSEE
Practice address
117 W Sevier Ave Ste 220
Kingsport, TN 37660-3770
Phone
(423) 933-3773
Fax
(423) 933-3726
NPI assigned
Jul 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Authorized official

Name
Raaj Kurapati
Title
Cfo
Phone
(901) 448-8030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

117 W Sevier Ave Ste 220
Kingsport, TN 37660-3770

Mailing address

117 W Sevier Ave Ste 220
Kingsport, TN 37660-3770
Phone (423) 933-3773

National Provider Directory

National Provider Directory
Tax ID family
Ut CT HLTH SC Fam Prac CT26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

117 W Sevier Ave
Ste 220
Kingsport, TN 37660
Phone (423) 224-3200

NPI Registry JSON

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1255178786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W SEVIER AVE STE 220",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603770",
            "telephone_number": "423-933-3773",
            "fax_number": "423-933-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W SEVIER AVE STE 220",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376603770",
            "telephone_number": "423-933-3773",
            "fax_number": "423-933-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "KURAPATI",
        "authorized_official_first_name": "RAAJ",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "901-448-8030"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.