Individual provider Active NPI

Brian Dezso Detari, D.M.D.

  • General Practice Dentistry
  • Chattanooga, TN
National Provider Identifier
1619950573
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS6873 Issued in TN
Practice address
410 High St
Suite 6
Chattanooga, TN 37403-1712
Phone
(423) 267-9124
NPI assigned
Nov 23, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS6873 TN Primary

Addresses

Primary practice location

410 High St
Suite 6
Chattanooga, TN 37403-1712

Mailing address

406 High St
Chattanooga, TN 37403-1726
Phone (423) 267-9124

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS6873TNMDGeneral Practice Dentistry

Interoperability endpoints

  • Direct secure messaging: brian.detari.p2@direct.360care.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619950573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 HIGH ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031726",
            "telephone_number": "423-267-9124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 HIGH ST",
            "address_2": "SUITE 6",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374031712",
            "telephone_number": "423-267-9124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETARI",
        "first_name": "BRIAN",
        "middle_name": "DEZSO",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS6873",
            "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 Jul 13, 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.