NPIMap

Organization Active NPI

TN Dental Professionals II PC

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1427618883
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TN DENTAL PROFESSIONALS II PC
Practice address
1309 Panorama Dr Ste 101
Chattanooga, TN 37421-4771
Phone
(423) 894-4084
Fax
(423) 894-4086
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Katie Workman
Title
Analyst, Revenue Cycle Management
Phone
(440) 241-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1309 Panorama Dr Ste 101
Chattanooga, TN 37421-4771

Mailing address

PO Box 306082
Nashville, TN 37230-6082

Other names 1

  • Shabo Dental Smile Studio Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Hamilton Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1309 Panorama Dr
Ste 101
Chattanooga, TN 37421
Phone (423) 894-4084

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1427618883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306082",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 PANORAMA DR STE 101",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214771",
            "telephone_number": "423-894-4084",
            "fax_number": "423-894-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN DENTAL PROFESSIONALS II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "ANALYST, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "440-241-1931"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shabo Dental Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.