Knoxville Periodontics, P.C.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DS2188 Issued in TN

Legal business name

KNOXVILLE PERIODONTICS, P.C.

Practice address

140 Market Place Blvd
Knoxville, TN 37922-2337

Phone

(865) 693-2331

Fax

(865) 691-8340

NPI assigned

May 27, 2009

Organization subpart

No

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

Authorized official

Name

Dr. William E. Rogers, D.D.S.

Title

President

Phone

(865) 693-2331

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew L Heaton, D.D.S., M.S.

  • Periodontics
  • Knoxville, TN
  • NPI 1659579472
  NPD (past)

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1528293164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MARKET PLACE BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222337",
            "telephone_number": "865-693-2331",
            "fax_number": "865-691-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MARKET PLACE BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379222337",
            "telephone_number": "865-693-2331",
            "fax_number": "865-691-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE PERIODONTICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "865-693-2331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "DS2188",
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "TN",
            "license": "DS8666",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Knoxville Pediatric Associates, P.C.
• Knoxville Pediatric Dentistry, PLLC
• Knoxville Pediatric Dentistry, PLLC
• Knoxville Pediatric Dentistry, PLLC
• Knoxville Pediatric Ophthalmology, PLLC
• Knoxville Physical Therapy, Inc.
• Knoxville Psychiatric Group
• Knoxville Psychological Center, PLLC
• Knoxville Pulmonary Group, P.a.
• Knoxville Radiological Group Associated

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.