Nathaniel A Renner, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8394 Issued in TN

Practice address

22 Norton Rd
Greeneville, TN 37745-3065

Phone

(423) 639-7575

Fax

(423) 639-7572

NPI assigned

Jul 24, 2006

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tusculum Dental Care

  • General Practice Dentistry
  • Greeneville, TN
  • NPI 1255502944
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366464505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MAGNOLIA DR",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377435430",
            "telephone_number": "423-638-2669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NORTON RD",
            "city": "GREENEVILLE",
            "state": "TN",
            "postal_code": "377453065",
            "telephone_number": "423-639-7575",
            "fax_number": "423-639-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNER",
        "first_name": "NATHANIEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine M Rebuck, NP
• Elizabeth Reed, PA
• Lindsay Rose Reeves, BBA
• Lawrence H Reid, MD
• Nancy Katherine 'Kit' Renfro, CCC-SLP
• Paula Renner
• Renova PT LLC
• Wendy Wendy Rice Hensley, LMSW, LAPSW
• Amber Dyer Rice, PTA
• Stephanie Nicole Rice, PHARM.D.

• General Practice Dentistry in Greeneville, TN
• Providers in Greeneville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.