Active NPI
Pickering & Allen Orthodontics
- Orthodontics and Dentofacial Orthopedics Dentistry
- Knoxville, TN
National Provider Identifier
1659996320
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Legal business name
- PICKERING & ALLEN ORTHODONTICS
- Practice address
- 4741 N Broadway St
Knoxville, TN 37918-1793 - Phone
- (865) 687-9412
- Fax
- (865) 688-0656
- NPI assigned
- Jun 9, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terri A. Hancock
- Title
- Office Coordinator
- Phone
- (865) 687-9412
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | Primary |
Addresses
Primary practice location
4741 N Broadway St
Knoxville, TN 37918-1793
Mailing address
4741 N Broadway St Ste C
Knoxville, TN 37918-1793
Phone (865) 687-9412
Other practice location 1
120 Capital Dr Ste 104
Knoxville, TN 37922-3475
Phone (865) 687-9412
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q037787 | Medicaid | TN | |
| Q006553 | Medicaid | TN |
National Provider Directory
National Provider DirectoryLocations
4741 N Broadway St
Ste C
Knoxville, TN 37918
Phone (865) 687-9412
120 Capital Dr
Ste 104
Knoxville, TN 37922
Phone (865) 357-7878
4741 N Broadway St
Knoxville, TN 37918
Phone (865) 687-1940
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Knoxville, TN
- NPI 1992236616
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Knoxville, TN
- NPI 1740406487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1591660800000",
"number": "1659996320",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4741 N BROADWAY ST STE C",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181793",
"telephone_number": "865-687-9412",
"fax_number": "865-688-0656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4741 N BROADWAY ST",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379181793",
"telephone_number": "865-687-9412",
"fax_number": "865-688-0656"
}
],
"practiceLocations": [
{
"address_1": "120 Capital Dr Ste 104",
"address_purpose": "LOCATION",
"city": "Knoxville",
"state": "TN",
"postal_code": "379223475",
"country_code": "US",
"telephone_number": "865-687-9412",
"fax_number": "865-688-0656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "PICKERING & ALLEN ORTHODONTICS",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-09",
"last_updated": "2020-06-09",
"certification_date": "2020-06-09",
"status": "A",
"authorized_official_last_name": "HANCOCK",
"authorized_official_first_name": "TERRI",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OFFICE COORDINATOR",
"authorized_official_telephone_number": "865-687-9412"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q037787",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q006553",
"state": "TN"
}
],
"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 9, 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.