Organization Active NPI

Jaw, LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hixson, TN
National Provider Identifier
1730327644
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DS8742 Issued in TN
Legal business name
JAW, LLC
Doing business as
TN Valley Orthodontics
Practice address
1005 Executive Dr
Suite 105
Hixson, TN 37343-7903
Phone
(423) 877-1286
Fax
(423) 877-1290
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Franci Raines
Title
Practice Manager
Phone
(423) 877-1286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X DS8742 TN Primary

Addresses

Primary practice location

1005 Executive Dr
Suite 105
Hixson, TN 37343-7903

Mailing address

1005 Executive Dr
Suite 105
Hixson, TN 37343-7903
Phone (423) 877-1286

Other names 1

  • TN Valley Orthodontics Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1730327644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437903",
            "telephone_number": "423-877-1286",
            "fax_number": "423-877-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 EXECUTIVE DR",
            "address_2": "SUITE 105",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373437903",
            "telephone_number": "423-877-1286",
            "fax_number": "423-877-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "FRANCI",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "423-877-1286"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "DS8742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TN Valley Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.