Organization Active NPI

University of Tennessee

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Memphis, TN
National Provider Identifier
1427420561
Registry record updated Dec 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
UNIVERSITY OF TENNESSEE
Practice address
875 Union Ave.
Suite C303
Memphis, TN 38103-3513
Phone
(901) 448-1463
Fax
(901) 448-1465
NPI assigned
Oct 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2019

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

Authorized official

Name
Mr. Anthony A Ferrara
Title
Sr. Vice Chancellor/Cfo
Phone
(901) 448-5523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

875 Union Ave.
Suite C303
Memphis, TN 38103-3513

Mailing address

875 Union Ave.
Suite E201B
Memphis, TN 38103-3513
Phone (901) 448-2801

Other names 1

  • Durable Medical Equipment Other name

National Provider Directory

National Provider Directory

Locations

875 Union Ave
Ste C303
Memphis, TN 38103
Phone (901) 448-1463

875 Union Ave
Ste E201B
Memphis, TN 38103

NPI Registry JSON

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1427420561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 UNION AVE.",
            "address_2": "SUITE E201B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033513",
            "telephone_number": "901-448-2801",
            "fax_number": "901-448-2853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 UNION AVE.",
            "address_2": "SUITE C303",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381033513",
            "telephone_number": "901-448-1463",
            "fax_number": "901-448-1465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SR. VICE CHANCELLOR/CFO",
        "authorized_official_telephone_number": "901-448-5523",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durable Medical Equipment",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Durable Medical Equipment",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.