Organization Active NPI

Living Life Dentistry, PLLC

Doing business as Living Life Dentistry

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1437728532
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIVING LIFE DENTISTRY, PLLC
Doing business as
Living Life Dentistry
Practice address
280 Fort Sanders West Blvd Ste 117
Knoxville, TN 37922-3352
Phone
(865) 539-6030
Fax
(865) 539-6768
NPI assigned
Jun 22, 2021
Last updated
Jun 28, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Authorized official

Name
Sharon Kinder
Title
Office Manager
Phone
(865) 539-6030

Specialties & licenses 1

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

Addresses

Primary practice location

280 Fort Sanders West Blvd Ste 117
Knoxville, TN 37922-3352

Mailing address

280 Fort Sanders West Blvd Ste 117
Knoxville, TN 37922-3352
Phone (865) 539-6030

Other names 1

  • Living Life Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

280 Fort Sanders West Blvd
Ste 117
Knoxville, TN 37922
Phone (865) 539-6030

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624838400000",
    "number": "1437728532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 FORT SANDERS WEST BLVD STE 117",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223352",
            "telephone_number": "865-539-6030",
            "fax_number": "865-539-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 FORT SANDERS WEST BLVD STE 117",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223352",
            "telephone_number": "865-539-6030",
            "fax_number": "865-539-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "KINDER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-539-6030"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Life Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Life Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 28, 2021; 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.