Organization Active NPI

Minton Family Dental Care RT

  • Dentist
  • Tazewell, TN
National Provider Identifier
1467316133
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MINTON FAMILY DENTAL CARE RT
Practice address
210 Cedar Fork Rd
Tazewell, TN 37879-3201
Phone
(360) 513-5328
NPI assigned
Dec 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Authorized official

Name
Kearstin Stallings
Title
Ceo
Phone
(360) 513-5328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

210 Cedar Fork Rd
Tazewell, TN 37879-3201

Mailing address

210 Cedar Fork Rd
Tazewell, TN 37879-3201
Phone (360) 513-5328

National Provider Directory

National Provider Directory

Locations

210 Cedar Fork Rd
Tazewell, TN 37879
Phone (360) 513-5328

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1467316133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 CEDAR FORK RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793201",
            "telephone_number": "360-513-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 CEDAR FORK RD",
            "city": "TAZEWELL",
            "state": "TN",
            "postal_code": "378793201",
            "telephone_number": "360-513-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTON FAMILY DENTAL CARE RT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "STALLINGS",
        "authorized_official_first_name": "KEARSTIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-513-5328"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tazewell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.