Organization Active NPI

Hixson Dental Group, PLLC

  • Dentist
  • Hixson, TN
National Provider Identifier
1578670717
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
TN2248 Issued in TN
Legal business name
HIXSON DENTAL GROUP, PLLC
Practice address
6012A Hixson Pike
Hixson, TN 37343-3032
Phone
(423) 843-0418
Fax
(423) 842-7362
NPI assigned
Aug 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Larry F Mullinax, D.D.S.NPI 1144337387
Title
President
Phone
(423) 843-0418

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 MULTIPLE SINGLE SPECIALTY GROUP 122300000X TN2248 TN Primary

Addresses

Primary practice location

6012A Hixson Pike
Hixson, TN 37343-3032

Mailing address

6012A Hixson Pike
Hixson, TN 37343-3032
Phone (423) 843-0418

National Provider Directory

National Provider Directory

Locations

6012 Hixson Pike
#A
Hixson, TN 37343
Phone (423) 843-0418

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578670717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6012A HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433032",
            "telephone_number": "423-843-0418",
            "fax_number": "423-842-7362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6012A HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433032",
            "telephone_number": "423-843-0418",
            "fax_number": "423-842-7362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIXSON DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULLINAX",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-843-0418",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "TN2248",
            "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 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.