Organization Active NPI

KPM Dental Partners PLLC

Doing business as Chattanooga Dental Arts

  • Dental Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1518525377
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KPM DENTAL PARTNERS PLLC
Doing business as
Chattanooga Dental Arts
Practice address
4141 Ringgold Rd
Chattanooga, TN 37412-2465
Phone
(423) 622-5165
NPI assigned
Jun 5, 2019
Last updated
Jun 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Mary Beth Fitzpatrick
Title
Director of Operations
Phone
(865) 588-5749

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

4141 Ringgold Rd
Chattanooga, TN 37412-2465

Mailing address

121 S Weisgarber Rd
Knoxville, TN 37919-4955
Phone (865) 588-5749

Other names 1

  • Chattanooga Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

4141 Ringgold Rd
East Ridge, TN 37412
Phone (423) 622-5165

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1518525377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S WEISGARBER RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194955",
            "telephone_number": "865-588-5749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 RINGGOLD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374122465",
            "telephone_number": "423-622-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KPM DENTAL PARTNERS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "865-588-5749"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chattanooga Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.