Organization Active NPI

Seymour Family Dentistry

  • General Practice Dentistry
  • Seymour, TN
National Provider Identifier
1376623082
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SEYMOUR FAMILY DENTISTRY
Practice address
111 Peacock Court
Seymour, TN 37865
Phone
(865) 577-0194
Fax
(865) 573-6770
NPI assigned
Oct 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Becky M Jenkins
Title
Office Manager
Phone
(865) 577-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

111 Peacock Court
Seymour, TN 37865

Mailing address

PO Box 516
111 Peacock Court
Seymour, TN 37865
Phone (865) 577-0194

National Provider Directory

National Provider Directory

Locations

111 Peacock Ct
Seymour, TN 37865
Phone (865) 573-0274

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376623082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 516",
            "address_2": "111 PEACOCK COURT",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "37865",
            "telephone_number": "865-577-0194",
            "fax_number": "865-573-6770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PEACOCK COURT",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "37865",
            "telephone_number": "865-577-0194",
            "fax_number": "865-573-6770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEYMOUR FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "BECKY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-577-0194",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seymour, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.