Individual provider Active NPI

Leigh Carter Kuyrkendall, DMD

  • General Practice Dentistry
  • Lookout Mountain, TN
National Provider Identifier
1487721759
Registry record updated May 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9791 Issued in TN
Practice address
120 N Watauga LN
Lookout Mountain, TN 37350-1375
Phone
(423) 821-7508
Fax
(423) 821-5432
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9791 TN Primary

Addresses

Primary practice location

120 N Watauga LN
Lookout Mountain, TN 37350-1375

Mailing address

120 N Watauga Lane
Lookout Mountain, TN 37350
Phone (423) 821-7508

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9791TNMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1487721759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N WATAUGA LANE",
            "city": "LOOKOUT MOUNTAIN",
            "state": "TN",
            "postal_code": "37350",
            "telephone_number": "423-821-7508",
            "fax_number": "423-821-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N WATAUGA LN",
            "city": "LOOKOUT MOUNTAIN",
            "state": "TN",
            "postal_code": "373501375",
            "telephone_number": "423-821-7508",
            "fax_number": "423-821-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUYRKENDALL",
        "first_name": "LEIGH",
        "middle_name": "CARTER",
        "name_prefix": "Mrs.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lookout Mountain, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; 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.