Organization Active NPI

Adventure Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Chattanooga, TN
National Provider Identifier
1265087969
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
ADVENTURE PEDIATRIC DENTISTRY, PLLC
Practice address
6413 Lee Hwy Ste 119
Chattanooga, TN 37421-4861
Phone
(423) 802-6234
NPI assigned
Aug 8, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Dr. Latasha Michelle Garrett, DDSNPI 1972919868
Title
Pediatric Dentist
Phone
(423) 802-6234

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

6413 Lee Hwy Ste 119
Chattanooga, TN 37421-4861

Mailing address

1305 3Rd Ave N Apt 145
Nashville, TN 37208-2891
Phone (423) 802-6234

National Provider Directory

National Provider Directory

Locations

6413 Lee Hwy
Ste 119
Chattanooga, TN 37421
Phone (423) 802-6234

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1265087969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 3RD AVE N APT 145",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082891",
            "telephone_number": "423-802-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6413 LEE HWY STE 119",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214861",
            "telephone_number": "423-802-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVENTURE PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-08",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "LATASHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "423-802-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.