NPIMap

Organization Active NPI

Pediatric Dentistry PC

  • Pediatric Dentistry
  • Powell, TN
National Provider Identifier
1699283432
Registry record updated Jan 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
1902 Issued in TN
Legal business name
PEDIATRIC DENTISTRY PC
Practice address
209 E Emory Rd Ste 101
Powell, TN 37849-4016
Phone
(865) 558-8857
Fax
(865) 558-8857
NPI assigned
Jan 15, 2018
Last updated
Jan 15, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2018

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

Authorized official

Name
Dr. Valerie A Esker, DMDNPI 1467513911
Title
Owner/Pediatric Dentist
Phone
(865) 558-8857

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X 1902 TN Primary

Addresses

Primary practice location

209 E Emory Rd Ste 101
Powell, TN 37849-4016

Mailing address

209 E Emory Rd Ste 101
Powell, TN 37849-4016
Phone (865) 558-8857

Other identifiers 1

IdentifierTypeStateIssuer
1467573911MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Pediatric Dentistry PC2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515974400000",
    "number": "1699283432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E EMORY RD STE 101",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494016",
            "telephone_number": "865-558-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E EMORY RD STE 101",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494016",
            "telephone_number": "865-558-8857",
            "fax_number": "865-558-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2018-01-15",
        "status": "A",
        "authorized_official_last_name": "ESKER",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "865-558-8857",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "1902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467573911",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2018; 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.