NPIMap

Organization Active NPI

Knoxville Pediatric Dentistry, PLLC

  • Pediatric Dentistry
  • Knoxville, TN
National Provider Identifier
1649879271
Registry record updated Oct 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
KNOXVILLE PEDIATRIC DENTISTRY, PLLC
Practice address
2944 Tazewell Pike Ste 1
Knoxville, TN 37918-1990
Phone
(865) 522-5437
Fax
(865) 588-1862
NPI assigned
Oct 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2020

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

Authorized official

Name
Ceann Gerrity
Title
Office Manager
Phone
(865) 522-5437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

2944 Tazewell Pike Ste 1
Knoxville, TN 37918-1990

Mailing address

2944 Tazewell Pike Ste 1
Knoxville, TN 37918-1990
Phone (865) 522-5437

National Provider Directory

National Provider Directory
Tax ID family
Knoxville Pediatric Dentistry PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2944 Tazewell Pike
Ste 1
Knoxville, TN 37918
Phone (865) 522-5437

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1603497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603497600000",
    "number": "1649879271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2944 TAZEWELL PIKE STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181990",
            "telephone_number": "865-522-5437",
            "fax_number": "865-588-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2944 TAZEWELL PIKE STE 1",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379181990",
            "telephone_number": "865-522-5437",
            "fax_number": "865-588-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOXVILLE PEDIATRIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-24",
        "last_updated": "2020-10-24",
        "certification_date": "2020-10-24",
        "status": "A",
        "authorized_official_last_name": "GERRITY",
        "authorized_official_first_name": "CEANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-522-5437"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "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 Oct 24, 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.