Organization Active NPI

Roane Dental Associates, P.C.

  • General Practice Dentistry
  • Harriman, TN
National Provider Identifier
1386981041
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0000009313 Issued in TN
Legal business name
ROANE DENTAL ASSOCIATES, P.C.
Practice address
1855 Tanner Way
Suite 210
Harriman, TN 37748-8302
Phone
(865) 717-7743
Fax
(865) 717-6615
NPI assigned
Jan 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Raymond Scott Holmes, DDSNPI 1356629091
Title
Dentist/Owner
Phone
(865) 717-7743

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS0000009313 TN Primary

Addresses

Primary practice location

1855 Tanner Way
Suite 210
Harriman, TN 37748-8302

Mailing address

1855 Tanner Way
Suite 210
Harriman, TN 37748-8302
Phone (865) 717-7743

National Provider Directory

National Provider Directory

Locations

1855 Tanner Way
Ste 210
Harriman, TN 37748
Phone (865) 717-7743

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1386981041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY",
            "address_2": "SUITE 210",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488302",
            "telephone_number": "865-717-7743",
            "fax_number": "865-717-6615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 TANNER WAY",
            "address_2": "SUITE 210",
            "city": "HARRIMAN",
            "state": "TN",
            "postal_code": "377488302",
            "telephone_number": "865-717-7743",
            "fax_number": "865-717-6615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANE DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "865-717-7743",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000009313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harriman, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.