Individual provider Active NPI

James Edwin Bryant, DDS

  • Dentist
  • Knoxville, TN
National Provider Identifier
1306249172
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0000009931 Issued in TN
Practice address
240 S Peters Rd Ste 103
Knoxville, TN 37923-5226
Phone
(865) 693-7631
NPI assigned
Oct 7, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS0000009931 TN Primary

Addresses

Primary practice location

240 S Peters Rd Ste 103
Knoxville, TN 37923-5226

Mailing address

240 S Peters Rd Ste 103
Knoxville, TN 37923-5226
Phone (865) 693-7631

Other practice location 1

1754 S Rutherford Blvd
Murfreesboro, TN 37130-0721
Phone (615) 849-1292

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623000892 TN Order and Referring Only - Other (Non-Physician) 2163733783

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS0000009931TNMDDentist
9931TNMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bryant Family Dentistry, PLLC CurrentSince Jan 29, 2023 Accepting new patients
Thomas G Zarger Jr DDS PC Dentist PastSince Jun 22, 2021 Accepting new patients

Locations

240 S Peters Rd
Ste 103
Knoxville, TN 37923
Phone (865) 693-7631

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1306249172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 S PETERS RD STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235226",
            "telephone_number": "865-693-7631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S PETERS RD STE 103",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379235226",
            "telephone_number": "865-693-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1754 S Rutherford Blvd",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371300721",
            "country_code": "US",
            "telephone_number": "615-849-1292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYANT",
        "first_name": "JAMES",
        "middle_name": "EDWIN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000009931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.