Organization Active NPI

Tennessee River Dental, PLLC

  • Dentist
  • Hixson, TN
National Provider Identifier
1568854875
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TENNESSEE RIVER DENTAL, PLLC
Practice address
2835 Northpoint Blvd Ste 105
Hixson, TN 37343-4862
Phone
(423) 877-3848
Fax
(423) 877-3726
NPI assigned
Feb 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Dr. Marcus Kenneth RandallNPI 1952667230
Title
Owner
Phone
(423) 877-3848

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2835 Northpoint Blvd Ste 105
Hixson, TN 37343-4862

Mailing address

2835 Northpoint Blvd Ste 105
Hixson, TN 37343-4862
Phone (423) 877-3848

National Provider Directory

National Provider Directory

Locations

4845 Hixson Pike
Ste C
Hixson, TN 37343
Phone (423) 877-3848

Practitioners & affiliated clinicians

Practitioners 3

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": "1424649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1568854875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 NORTHPOINT BLVD STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434862",
            "telephone_number": "423-877-3848",
            "fax_number": "423-877-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 NORTHPOINT BLVD STE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434862",
            "telephone_number": "423-877-3848",
            "fax_number": "423-877-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE RIVER DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-23",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "RANDALL",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-877-3848",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.