Individual provider Active NPI

Conner Andrew Courtney, DDS

  • Dentist
  • Knoxville, TN
National Provider Identifier
1649106386
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13218 Issued in TN
Practice address
2719 Kingston Pike
Knoxville, TN 37919-4620
Phone
(865) 524-1265
NPI assigned
Jun 22, 2026
Last updated
Jun 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13218 TN Primary

Addresses

Primary practice location

2719 Kingston Pike
Knoxville, TN 37919-4620

Mailing address

5000 Cruze Rd
Lenoir City, TN 37772-4605
Phone (865) 360-9803

Other practice location 1

16374 Hotchkiss Valley Rd E
Loudon, TN 37774-6064
Phone (865) 381-4603

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

State licenses

LicenseStateTypeSpecialty
13218TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pablo a. Foncea, DMD, PC PastSince Sep 13, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1649106386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CRUZE RD",
            "city": "LENOIR CITY",
            "state": "TN",
            "postal_code": "377724605",
            "telephone_number": "865-360-9803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2719 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194620",
            "telephone_number": "865-524-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16374 Hotchkiss Valley Rd E",
            "address_purpose": "LOCATION",
            "city": "Loudon",
            "state": "TN",
            "postal_code": "377746064",
            "country_code": "US",
            "telephone_number": "865-381-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "CONNER",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "13218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.