Northshore Endodontics PC

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

01388 Issued in TN

Legal business name

NORTHSHORE ENDODONTICS PC

Practice address

414 S Northshore Dr
Knoxville, TN 37919-7561

Phone

(865) 212-9680

Fax

(865) 766-0554

NPI assigned

May 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John E Sullivan Jr., DDS, MS

Title

Owner

Phone

(865) 212-9680

Specialties & licenses 1

Addresses

Other names 1

• John E. Sullivan, Jr, DDS, MS Former legal business name

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538375175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197561",
            "telephone_number": "865-212-9680",
            "fax_number": "865-766-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 S NORTHSHORE DR",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197561",
            "telephone_number": "865-212-9680",
            "fax_number": "865-766-0554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE ENDODONTICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-212-9680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "01388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John E. Sullivan, Jr, DDS, MS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Katherine North
• Northglen Healing, PLLC
• Northland Hearing Centers, Inc.
• Northshore Chiropractic Clinic LLC
• Northshore Dental Arts LLC
• Northshore Smiles Dentistry, PC (Northshore Smiles Dentistry)
• Northshore Specialty Eyecare PLLC (eyes on northshore)
• Northshore Specialty Eyecare PLLC
• Northshore Urgent Care
• Northshore Urology LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.