Heritage Family Dentistry LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS8701 Issued in TN

Legal business name

HERITAGE FAMILY DENTISTRY LLC

Practice address

11121 Kingston Pike Ste C
Farragut, TN 37934-2890

Phone

(865) 986-5310

NPI assigned

Feb 13, 2015

Organization subpart

No

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

Authorized official

Name

Jonathan Paul Bradshaw, DDSNPI 1356508147

Title

Owner

Phone

(865) 986-5310

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Jonathan Paul Bradshaw, D.D.S.

  • General Practice Dentistry
  • Farragut, TN
  • NPI 1356508147
  NPD Authorized official
• Barbara Jean Naylor, RDH

  • Dental Hygienist
  • Knoxville, TN
  • NPI 1841999653
  NPD
• Kaitlyn Rogers, RDH

  • Dental Hygienist
  • Knoxville, TN
  • NPI 1033818273
  NPD
• David Allen Jones, DDS

  • General Practice Dentistry
  • Lenoir City, TN
  • NPI 1215013826
  NPD (past)

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

{
    "created_epoch": "1423785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1588055438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11121 KINGSTON PIKE STE C",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342890",
            "telephone_number": "865-986-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11121 KINGSTON PIKE STE C",
            "city": "FARRAGUT",
            "state": "TN",
            "postal_code": "379342890",
            "telephone_number": "865-986-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-13",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "865-986-5310",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS8701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin A Greene, PA-C
• Elizabeth Grieco, RDH
• Haven Chiropractic and Wellness Co
• Michael D Hemby, DPT
• Hollie Michele Hennessy, DPT
• Lauren E Hickman, FNP
• Robert Holbrook, PHARMD
• Jordan Elizabeth Hopper
• Alexandra S Howe, RPH
• Brian William Howen, PA-C

• Dentist in Farragut, TN
• Providers in Farragut, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.