North River Perio PLLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7108 Issued in TN

Legal business name

NORTH RIVER PERIO PLLC

Practice address

5022 Old Godsey LN Ste 1
Hixson, TN 37343-6604

Phone

(423) 870-9567

Fax

(423) 870-5331

NPI assigned

Jul 2, 2018

Last updated

Jul 2, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rhonda M West

Title

Insurance Manager

Phone

(423) 870-9567

Specialties & licenses 1

Addresses

Locations

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.

• Charles L McBrayer, DDS

  • Periodontics
  • Hixson, TN
  • NPI 1720292907
  NPD (past)
• Jason Strever, DMD, MS

  • Periodontics
  • Hixson, TN
  • NPI 1518382506
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530489600000",
    "number": "1477049542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN STE 1",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436604",
            "telephone_number": "423-870-9567",
            "fax_number": "423-870-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5022 OLD GODSEY LN STE 1",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373436604",
            "telephone_number": "423-870-9567",
            "fax_number": "423-870-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH RIVER PERIO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-02",
        "last_updated": "2018-07-02",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "423-870-9567"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "7108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Park OB/GYN Assoc, PC
• North Park Optical Center
• North River Chiropractic
• North River Endodontics, PLLC
• North River Oncology and Hematology, PC
• North River Valley Operations, LLC (Life Care Center of Hixson)
• Northgate Neurology, PLLC
• Northland Hearing Centers, Inc.
• Northland Hearing Centers, Inc. (Audibel Hearing Center)
• Hannah Gibson Norton, MSPT

• Periodontics in Hixson, TN
• Providers in Hixson, TN by specialty
• Periodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; 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.