Chickasaw Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4439 Issued in TN

Legal business name

CHICKASAW DENTAL

Practice address

2877 Poplar Ave
Memphis, TN 38111-2023

Phone

(901) 324-0093

Fax

(901) 324-4029

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Orpheus Triplett, DDS

Title

President

Phone

(901) 324-0093

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Chickasaw Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orpheus L. Triplett, D.D.S., P.C.

  • Dental Clinic/Center
  • Memphis, TN
  • NPI 1205121787
  NPD tax ID

Locations

Practitioners 1

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

• Dominique Latasha Terry, RDH

  • Dental Hygienist
  • Memphis, TN
  • NPI 1376866988
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619005717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2877 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112023",
            "telephone_number": "901-324-0093",
            "fax_number": "901-324-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381112023",
            "telephone_number": "901-324-0093",
            "fax_number": "901-324-4029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICKASAW DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TRIPLETT",
        "authorized_official_first_name": "ORPHEUS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-324-0093",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225499",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Chewning, PHARMD
• Sultan Singh Chhina, M.D
• Ady Takwai CHI
• Jason Cheng-Hsuan Chiang, MD, PHD
• Susan C Chick
• Sandeep K. Chilakala, MD
• Angie Jean Childers, MD
• Linda Childers, APN
• Children'S Bureau Inc.
• Children'S Counseling Resource

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• 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.