Randall Carter Nutt, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

13129 Issued in TN

Practice address

10025 Investment Dr
Knoxville, TN 37932-2664

Phone

(865) 364-1122

Fax

(865) 364-1234

NPI assigned

May 5, 2022

Last updated

Jul 30, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1265178081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 LAKEPOINT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379228406",
            "telephone_number": "865-223-0095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10025 INVESTMENT DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379322664",
            "telephone_number": "865-364-1122",
            "fax_number": "865-364-1234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUTT",
        "first_name": "RANDALL",
        "middle_name": "CARTER",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-05",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "13129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nuru Health Inc
• Ethan Lawrence Nussio
• Nutrition From Scratch
• Nutritional Support Services (Network Healthcare Knoxville)
• Nutritional Support Services
• Jaclyn Talia Nutting, D.D.S.
• Noi B Nuyen, MD
• Emeka Ethelbert Nwaneri
• Maureen Nwizu
• Mary Oluwatomilola Nwoke

• Oral and Maxillofacial Surgery (Dentist) in Knoxville, TN
• Providers in Knoxville, 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 Jul 30, 2026; 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.