Individual provider Active NPI

Reagan McNerney, D.M.D.

  • General Practice Dentistry
  • Maryville, TN
National Provider Identifier
1518564210
Registry record updated Aug 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
416520 Issued in MS
Practice address
207 Southdowne Dr
Maryville, TN 37801-3747
Phone
(865) 983-5451
NPI assigned
Oct 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9808 SC
General Practice Dentistry 1223G0001X 416520 MS Primary
General Practice Dentistry 1223G0001X 12220 TN

Addresses

Primary practice location

207 Southdowne Dr
Maryville, TN 37801-3747

Mailing address

7913 Hallsdale Rd
Knoxville, TN 37938-3216
Phone (601) 657-4326

Other practice location 1

4947 Millertown Pike
Knoxville, TN 37917-2115
Phone (601) 927-5961

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
416520MSMDGeneral Practice Dentistry
9808SCMDPharmacist
12220TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Archusa Family Dentistry General Practice PastSince Jul 1, 2021 Accepting new patients
Beaver Creek Dental PLLC Past Accepting new patients
Adams Family Dental PastSince Nov 26, 2023 Accepting new patients
Spencer Dental PLLC Past Accepting new patients
Michael W Hubbert DMD, LLC PastSince Jul 1, 2021 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1518564210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7913 HALLSDALE RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379383216",
            "telephone_number": "601-657-4326",
            "fax_number": "601-657-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 SOUTHDOWNE DR",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378013747",
            "telephone_number": "865-983-5451"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4947 Millertown Pike",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379172115",
            "country_code": "US",
            "telephone_number": "601-927-5961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNERNEY",
        "first_name": "REAGAN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-06",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9808",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "416520",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12220",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.