Active NPI
Cordova Family Dental
- Dentist
- Cordova, TN
National Provider Identifier
1376419754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- CORDOVA FAMILY DENTAL
- Practice address
- 1680 Bonnie LN
Cordova, TN 38016-1529 - Phone
- (901) 667-6453
- Fax
- (901) 742-2693
- NPI assigned
- Oct 14, 2025
- Organization subpart
- Yes
- Parent organization
- CORDOVA FAMILY DENTAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aaron Knop, DMD
- Title
- DMD / Owner
- Phone
- (901) 667-6453
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
1680 Bonnie LN
Cordova, TN 38016-1529
Mailing address
1680 Bonnie LN
Cordova, TN 38016-1529
Phone (901) 667-6453
Other practice location 1
3300 Wilcox Blvd
Chattanooga, TN 37411-3023
Phone (312) 741-0134
National Provider Directory
National Provider Directory- Part of
- Cordova Family Dental
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dental Clinic/Center
- Cordova, TN
- NPI 1578296745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1770681600000",
"number": "1376419754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1680 BONNIE LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380161529",
"telephone_number": "901-667-6453",
"fax_number": "901-742-2693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1680 BONNIE LN",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380161529",
"telephone_number": "901-667-6453",
"fax_number": "901-742-2693"
}
],
"practiceLocations": [
{
"address_1": "3300 Wilcox Blvd",
"address_purpose": "LOCATION",
"city": "Chattanooga",
"state": "TN",
"postal_code": "374113023",
"country_code": "US",
"telephone_number": "312-741-0134",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CORDOVA FAMILY DENTAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORDOVA FAMILY DENTAL",
"enumeration_date": "2025-10-14",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A",
"authorized_official_last_name": "KNOP",
"authorized_official_first_name": "AARON",
"authorized_official_title_or_position": "DMD / OWNER",
"authorized_official_telephone_number": "901-667-6453",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.