David Honald Childers, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3147 Issued in TN

Practice address

130 Independence LN Ste 2
La Follette, TN 37766-3073

Phone

(423) 562-1705

Fax

(423) 566-5106

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: david.childers.p1@direct.chetn.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Health of East Tennessee, Inc

  • Federally Qualified Health Center (FQHC)
  • La Follette, TN
  • NPI 1750382164
  Medicare reassignment NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1508981176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN STE 2",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663073",
            "telephone_number": "423-562-1705",
            "fax_number": "423-566-5106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 INDEPENDENCE LN STE 2",
            "city": "LA FOLLETTE",
            "state": "TN",
            "postal_code": "377663073",
            "telephone_number": "423-562-1705",
            "fax_number": "423-566-5106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDERS",
        "first_name": "DAVID",
        "middle_name": "HONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Carithers, PT
• Susan Carol Carnahan, OTR/L
• Rachel Chagala
• Autumn M Champion, FNP
• Cherish Every Moment Home Care LLC
• Christian Terzian, MD, PLLC
• Lisa F Christian, LPN
• Denise Danielle Chrzanowski, FNP
• Elijah G Cline, MD
• Thomas L Cohen, M.D.

• General Practice Dentistry in La Follette, TN
• Providers in La Follette, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.