Individual provider Active NPI

Chelsea Southerland Schwind, DDS

  • Dentist
  • Hixson, TN
National Provider Identifier
1437767084
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11351 Issued in TN
Practice address
1005 Executive Dr Ste 105
Hixson, TN 37343-7904
Phone
(423) 877-7886
NPI assigned
Jul 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11351 TN Primary

Addresses

Primary practice location

1005 Executive Dr Ste 105
Hixson, TN 37343-7904

Mailing address

1005 Executive Dr Ste 105
Hixson, TN 37343-7904

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11351TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chew Chew Dentistry Current Accepting new patients

Locations

4841 Hixson Pike
Ste E
Hixson, TN 37343
Phone (423) 877-5242

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1437767084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437904",
            "telephone_number": "423-877-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIND",
        "first_name": "CHELSEA",
        "middle_name": "SOUTHERLAND",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.