NPIMap

Organization Active NPI

Knoxville Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Sevierville, TN
National Provider Identifier
1447627914
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8203 Issued in TN
Legal business name
KNOXVILLE PEDIATRIC DENTISTRY, PLLC
Practice address
818 Middle Creek Rd Ste 1
Sevierville, TN 37862-5017
Phone
(865) 622-9144
Fax
(865) 622-5951
NPI assigned
Aug 31, 2015
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Ceann Gerrity
Title
Office Manager
Phone
(865) 522-5437

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 8203 TN Primary
Pediatric Dentistry 1223P0221X 9607 TN

Addresses

Primary practice location

818 Middle Creek Rd Ste 1
Sevierville, TN 37862-5017

Mailing address

818 Middle Creek Rd Ste 1
Sevierville, TN 37862-5017
Phone (865) 622-9144

National Provider Directory

National Provider Directory
Tax ID family
Knoxville Pediatric Dentistry PLLC4 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

1150 Fox Meadows Blvd
Ste 2
Sevierville, TN 37862
Phone (865) 391-4830

818 Middle Creek Rd
Ste 1
Sevierville, TN 37862
Phone (865) 218-9177

Practitioners & affiliated clinicians

Practitioners 2

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": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1447627914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 MIDDLE CREEK RD STE 1",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625017",
            "telephone_number": "865-622-9144",
            "fax_number": "865-622-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 MIDDLE CREEK RD STE 1",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "378625017",
            "telephone_number": "865-622-9144",
            "fax_number": "865-622-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "GERRITY",
        "authorized_official_first_name": "CEANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-522-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "8203",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9607",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sevierville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.