Active NPI
Seymour Implant Services LLC
- Dentist
- Seymour, TN
National Provider Identifier
1457415697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- SEYMOUR IMPLANT SERVICES LLC
- Practice address
- 111 Peacock CT
Seymour, TN 37865 - Phone
- (865) 577-0194
- Fax
- (865) 577-0174
- NPI assigned
- Dec 21, 2006
- 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
- Mrs. Becky M Jenkins
- Title
- Office Manager
- Phone
- (865) 577-0194
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
111 Peacock CT
Seymour, TN 37865
Mailing address
111 Peacock CT
Seymour, TN 37865
Phone (865) 577-0194
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1457415697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 PEACOCK CT",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "37865",
"telephone_number": "865-577-0194",
"fax_number": "865-577-0174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PEACOCK CT",
"city": "SEYMOUR",
"state": "TN",
"postal_code": "37865",
"telephone_number": "865-577-0194",
"fax_number": "865-577-0174"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEYMOUR IMPLANT SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "BECKY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "865-577-0194",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.