Organization Active NPI

Lincoln Memorial University

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1548909294
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LINCOLN MEMORIAL UNIVERSITY
Practice address
1705 St. Mary Street
Knoxville, TN 37917
Phone
(865) 370-2128
NPI assigned
Jun 1, 2022
Organization subpart
Yes
Parent organization
LINCOLN MEMORIAL UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Sabrina Layel
Title
Assistant Vice President Finance
Phone
(423) 869-6229

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223S0112X
Oral and Maxillofacial Radiology DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0008X
Dental HygienistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 124Q00000X
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

1705 St. Mary Street
Knoxville, TN 37917

Mailing address

6965 Cumberland Gap Parkway
Finance Office
Harrogate, TN 37752-8245
Phone (423) 869-6229

Other names 1

  • LMU Dental Clinic Doing business as

National Provider Directory

National Provider Directory
Part of
Lincoln Memorial University

Locations

6965 Cumberland Gap Pkwy
Ofc
Harrogate, TN 37752

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1548909294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6965 CUMBERLAND GAP PARKWAY",
            "address_2": "FINANCE OFFICE",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377528245",
            "telephone_number": "423-869-6229",
            "fax_number": "423-869-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 ST. MARY STREET",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "37917",
            "telephone_number": "865-370-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINCOLN MEMORIAL UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LINCOLN MEMORIAL UNIVERSITY",
        "enumeration_date": "2022-06-01",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "LAYEL",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "ASSISTANT VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "423-869-6229"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223X0008X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Oral and Maxillofacial Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LMU Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LMU Dental Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.