Organization Active NPI

Tri-Cities Dental Services LLC

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1699589994
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRI-CITIES DENTAL SERVICES LLC
Practice address
800 S Gay St Ste P325
Knoxville, TN 37929-9749
Phone
(678) 761-5947
NPI assigned
Feb 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Maxwell Jani
Title
Sr. Director of Efficiency Services
Phone
(678) 761-5947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

800 S Gay St Ste P325
Knoxville, TN 37929-9749

Mailing address

800 S Gay St Ste P325
Knoxville, TN 37929-9749
Phone (678) 761-5947

Other practice location 1

112 E First St
Crossville, TN 38555-4558
Phone (931) 484-8439

Other practice location 2

189 Corporate Dr Ste 20
Johnson City, TN 37604-2385
Phone (423) 928-8359

Other practice location 3

2806 W Market St
Johnson City, TN 37604-5166
Phone (423) 232-7343

Other practice location 4

510 N Main Ave
Erwin, TN 37650-1393
Phone (423) 743-9133

National Provider Directory

National Provider Directory

Locations

112 E First St
Crossville, TN 38555
Phone (770) 307-8726

NPI Registry JSON

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

{
    "created_epoch": "1738713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1699589994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE P325",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299749",
            "telephone_number": "678-761-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S GAY ST STE P325",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379299749",
            "telephone_number": "678-761-5947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 E First St",
            "address_purpose": "LOCATION",
            "city": "Crossville",
            "state": "TN",
            "postal_code": "385554558",
            "country_code": "US",
            "telephone_number": "931-484-8439",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "189 Corporate Dr Ste 20",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042385",
            "country_code": "US",
            "telephone_number": "423-928-8359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2806 W Market St",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376045166",
            "country_code": "US",
            "telephone_number": "423-232-7343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 N Main Ave",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376501393",
            "country_code": "US",
            "telephone_number": "423-743-9133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI-CITIES DENTAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "JANI",
        "authorized_official_first_name": "MAXWELL",
        "authorized_official_title_or_position": "SR. DIRECTOR OF EFFICIENCY SERVICES",
        "authorized_official_telephone_number": "678-761-5947"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "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 Feb 5, 2025; 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.