Active NPI
Children's Dentistry of Knoxville, LLC
- Pediatric Dentistry
- Knoxville, TN
National Provider Identifier
1407156300
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 8478
- Legal business name
- CHILDREN'S DENTISTRY OF KNOXVILLE, LLC
- Practice address
- 323 Fox Rd
Suite 100
Knoxville, TN 37922-3578 - Phone
- (865) 357-5560
- Fax
- (865) 357-5562
- NPI assigned
- Oct 25, 2010
- Last updated
- Oct 25, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darryl Edward Phillips, DDS
- Title
- Owner/Dentist
- Phone
- (865) 357-5560
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 8478 | TN | Primary |
Addresses
Primary practice location
323 Fox Rd
Suite 100
Knoxville, TN 37922-3578
Mailing address
323 Fox Rd
Suite 100
Knoxville, TN 37922-3578
Phone (865) 357-5560
National Provider Directory
National Provider DirectoryLocations
323 Fox Rd
Ste 100
Knoxville, TN 37922
Phone (865) 357-5560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pediatric Dentistry
- Knoxville, TN
- NPI 1497825376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287964800000",
"number": "1407156300",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "323 FOX RD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223578",
"telephone_number": "865-357-5560",
"fax_number": "865-357-5562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 FOX RD",
"address_2": "SUITE 100",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379223578",
"telephone_number": "865-357-5560",
"fax_number": "865-357-5562"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S DENTISTRY OF KNOXVILLE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "DARRYL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "OWNER/DENTIST",
"authorized_official_telephone_number": "865-357-5560",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "8478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.