Organization Active NPI

Michael E. Edenfield, DDS, PC

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1437423217
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0000008123 Issued in TN
Legal business name
MICHAEL E. EDENFIELD, DDS, PC
Practice address
2937 Essary Rd.
Knoxville, TN 37918
Phone
(865) 686-0050
Fax
(865) 686-0053
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Michael Edward Edenfield, D.D.S.NPI 1457573453
Title
Dentist/Owner
Phone
(865) 686-0050

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS0000008123 TN Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS0000008822 TN
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DS0000009153 TN

Addresses

Primary practice location

2937 Essary Rd.
Knoxville, TN 37918

Mailing address

2937 Essary Rd.
Knoxville, TN 37918
Phone (865) 686-0050

National Provider Directory

National Provider Directory

Locations

2937 Essary Dr
Knoxville, TN 37918
Phone (865) 686-0050

Practitioners & affiliated clinicians

Practitioners 3

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": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1437423217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2937 ESSARY RD.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37918",
            "telephone_number": "865-686-0050",
            "fax_number": "865-686-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2937 ESSARY RD.",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37918",
            "telephone_number": "865-686-0050",
            "fax_number": "865-686-0053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL E. EDENFIELD, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "EDENFIELD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "865-686-0050",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000008123",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000008822",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000009153",
            "primary": false
        }
    ],
    "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 Feb 27, 2012; 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.