Active NPI
Knoxville Pediatric Dentistry, PLLC
- General Practice Dentistry
- Knoxville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2060
- Legal business name
- KNOXVILLE PEDIATRIC DENTISTRY, PLLC
- Doing business as
- Knoxville Pediatric Dentistry, PLLC
- Practice address
- 705 Gate Lane
Suite 101
Knoxville, TN 37909 - Phone
- (865) 522-5437
- Fax
- (865) 588-1862
- NPI assigned
- May 23, 2008
- Last updated
- Feb 6, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Joseph Reed Townsend, D.D.S.
- Title
- Dentist/Owner
- Phone
- (865) 522-5437
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8900 | TN | |
| General Practice Dentistry | 1223G0001X | 2060 | TN | Primary |
| Pediatric Dentistry | 1223P0221X | 8203 | TN | |
| Pediatric Dentistry | 1223P0221X | 9607 | TN |
Addresses
Primary practice location
705 Gate Lane
Suite 101
Knoxville, TN 37909
Mailing address
705 Gate Lane
Suite 101
Knoxville, TN 37909
Phone (865) 522-5437
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440289 | Medicaid | TN | |
| 1531634 | Medicaid | TN | |
| 5440284 | Medicaid | TN | |
| 1506673 | Medicaid | TN |
Other names 1
- Knoxville Pediatric Dentistry, PLLC
National Provider Directory
National Provider Directory- Tax ID family
- Knoxville Pediatric Dentistry PLLC
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Dentistry
- Sevierville, TN
- NPI 1447627914
-
- Pediatric Dentistry
- Knoxville, TN
- NPI 1649879271
-
- Pediatric Dentistry
- Knoxville, TN
- NPI 1750720108
Locations
705 Gate Ln
Ste 101
Knoxville, TN 37909
Phone (865) 522-5437
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Pediatric Dentistry
- Knoxville, TN
- NPI 1942284732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1423180800000",
"number": "1447418736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 GATE LANE",
"address_2": "SUITE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-522-5437",
"fax_number": "865-588-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 GATE LANE",
"address_2": "SUITE 101",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37909",
"telephone_number": "865-522-5437",
"fax_number": "865-588-1862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOXVILLE PEDIATRIC DENTISTRY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2015-02-06",
"status": "A",
"authorized_official_last_name": "TOWNSEND",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "REED",
"authorized_official_title_or_position": "DENTIST/OWNER",
"authorized_official_telephone_number": "865-522-5437",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8900",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "2060",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "8203",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "9607",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440289",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1531634",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440284",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1506673",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Knoxville Pediatric Dentistry, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Knoxville, TN
- Knoxville Oral & Maxillofacial Surgery
- Knoxville Orthopaedic Surgery Center LLC
- Knoxville Pain Specialists, PLLC
- Knoxville Pathology Consultants PC
- Knoxville Pediatric Associates, P.C.
- Knoxville Pediatric Dentistry, PLLC
- Knoxville Pediatric Dentistry, PLLC
- Knoxville Pediatric Ophthalmology, PLLC
- Knoxville Periodontics, P.C.
- Knoxville Physical Therapy, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.