Scenic City Orthodontics PC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9065 Issued in TN

Legal business name

SCENIC CITY ORTHODONTICS PC

Practice address

7003 Shallowford Rd
Chattanooga, TN 37421-6722

Phone

(423) 855-4201

Fax

(423) 855-4203

NPI assigned

Aug 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Prentice, D.M.D., M.S.

Title

President

Phone

(423) 855-4201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1356657852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-855-4201",
            "fax_number": "423-855-4203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7003 SHALLOWFORD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374216722",
            "telephone_number": "423-855-4201",
            "fax_number": "423-855-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCENIC CITY ORTHODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-855-4201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "9065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scenic City Medical Equipment LLC
• Scenic City Medical Equipment LLC
• Scenic City Medical Massage
• Scenic City Neurotherapy and Ketamine Center LLC (Scenic City Neurotherapy Ketamine and TMS)
• Scenic City Nutrition, LLC
• Scenic City Orthopaedics & Sports Medicine, PLLC
• Scenic City Pediatrics PLLC
• Scenic City Plastic Surgery, LLC (Scenic City Plastic Surgery)
• Scenic City Podiatry, PLLC
• Scenic City Rheumatology PLLC (Physicians Rx of Chattanooga)

• Orthodontics and Dentofacial Orthopedics Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.