Individual provider Active NPI

Katherine Rodriguez-Feo, DMD

  • Pediatric Dentistry
  • Chattanooga, TN
National Provider Identifier
1568997351
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
11865 Issued in TN
Practice address
313 Manufacturers Blvd
Suite 207C
Chattanooga, TN 37405
Phone
(260) 413-3113
NPI assigned
Apr 29, 2017
Last updated
Jan 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 11865 TN Primary

Addresses

Primary practice location

313 Manufacturers Blvd
Suite 207C
Chattanooga, TN 37405

Mailing address

5958 Snow Hill Road
Suite 144 #166
Ooltewah, TN 37363
Phone (260) 413-3113

Other practice location 1

4803 Hixson Pike Ste 102
Hixson, TN 37343-4486
Phone (260) 413-3113

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

NPI Registry JSON

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

{
    "created_epoch": "1493424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1568997351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5958 SNOW HILL ROAD",
            "address_2": "SUITE 144 #166",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "37363",
            "telephone_number": "260-413-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 MANUFACTURERS BLVD",
            "address_2": "SUITE 207C",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37405",
            "telephone_number": "260-413-3113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4803 Hixson Pike Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hixson",
            "state": "TN",
            "postal_code": "373434486",
            "country_code": "US",
            "telephone_number": "260-413-3113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-FEO",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-29",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "11865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.