Meadowview Family Dentistry, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

MEADOWVIEW FAMILY DENTISTRY, PLLC

Practice address

2645 Sullivan Gardens Pkwy
Kingsport, TN 37660-7458

Phone

(423) 349-8315

Fax

(423) 349-8413

NPI assigned

May 27, 2024

Last updated

May 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kendra Stanley Baker, DMDNPI 1316100209

Title

Owner

Phone

(423) 349-8315

Specialties & licenses 1

Addresses

Locations

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.

• Kendra Stanley Baker, DMD

  • General Practice Dentistry
  • Kingsport, TN
  • NPI 1316100209
  NPD Authorized official

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

{
    "created_epoch": "1716768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716768000000",
    "number": "1265272413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 SULLIVAN GARDENS PKWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607458",
            "telephone_number": "423-349-8315",
            "fax_number": "423-349-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 SULLIVAN GARDENS PKWY",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607458",
            "telephone_number": "423-349-8315",
            "fax_number": "423-349-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOWVIEW FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-27",
        "last_updated": "2024-05-27",
        "certification_date": "2024-05-27",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-349-8315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan V Meade, PT
• Cassie Jeanette Meadows, FNP
• Meadowview ASC, LLC
• Meadowview Durable Medical Equipment
• Meadowview Ear Nose and Throat Spec PC
• Medical Diagnostic Services,LLC (MMDS International)
• Medical Education Assistance Corporation
• Medical Education Assistance Corporation (University Physicians Practice Group- Etsu FM Kingsport)
• Medical Mall Pharmacy Inc (Wellmont Outpatient Pharmacy)
• Medical Mall Pharmacy Inc (Stone Drive Outpatient Pharmacy)

• Dentist in Kingsport, TN
• Providers in Kingsport, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.