Individual provider Active NPI

Anna Katherine Birch, DDS

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1275112633
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11913 Issued in TN
Practice address
109 S Northshore Dr Ste 301
Knoxville, TN 37919-4925
Phone
(865) 281-1444
NPI assigned
Apr 5, 2021
Last updated
Nov 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X 11913 TN Primary

Addresses

Primary practice location

109 S Northshore Dr Ste 301
Knoxville, TN 37919-4925

Mailing address

109 S Northshore Dr Ste 301
Knoxville, TN 37919-4925
Phone (865) 281-1444

Other practice location 1

1924 Alcoa Hwy # U-60
Knoxville, TN 37920-1511
Phone (865) 305-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210726001567 TN Order and Referring Only - DentistPractitioner - Dentist 4789087941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11913TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John Coulter General Practice CurrentSince Nov 6, 2022 Accepting new patients

Locations

109 S Northshore Dr
Ste 301
Knoxville, TN 37919
Phone (865) 281-1444

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1275112633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S NORTHSHORE DR STE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194925",
            "telephone_number": "865-281-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S NORTHSHORE DR STE 301",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194925",
            "telephone_number": "865-281-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1924 Alcoa Hwy # U-60",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379201511",
            "country_code": "US",
            "telephone_number": "865-305-9191",
            "fax_number": "865-305-9442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "ANNA",
        "middle_name": "KATHERINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.