Greater Chattanooga Orthodontics

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

9431 Issued in KY

Legal business name

GREATER CHATTANOOGA ORTHODONTICS

Practice address

1829 Gunbarrel Rd
Ste. B
Chattanooga, TN 37421-7184

Phone

(423) 296-0407

Fax

(423) 296-0174

NPI assigned

Mar 1, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Cheryl W. Aldridge, DMD, MS

Title

Orthodontist/Owner

Phone

(423) 296-0407

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Greater Chattanooga Orthodontics2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greater Chattanooga Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Chattanooga, TN
  • NPI 1548626047
  NPD tax ID

Locations

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488326400000",
    "number": "1467992149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1829 GUNBARREL RD",
            "address_2": "STE. B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217184",
            "telephone_number": "423-296-0407",
            "fax_number": "423-296-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1829 GUNBARREL RD",
            "address_2": "STE. B",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374217184",
            "telephone_number": "423-296-0407",
            "fax_number": "423-296-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CHATTANOOGA ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-01",
        "last_updated": "2017-03-01",
        "status": "A",
        "authorized_official_last_name": "ALDRIDGE",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "ORTHODONTIST/OWNER",
        "authorized_official_telephone_number": "423-296-0407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "KY",
            "license": "9431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007710",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003140827A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Carl Grayson, MD
• Tamara R Grayson, RN
• Great Personal Care Service
• Greater Brainerd Dental PLLC
• Greater Chattanooga Christian Services
• Greater Chattanooga Orthodontics, PLLC
• Todd Richard Grebner, D.O.
• Elizabeth Green, P.T.
• Hannah E. Green, CRNA
• Justus Ishmael Green, CRNA

• Orthodontics and Dentofacial Orthopedics Dentistry in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; 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.