NPIMap

Organization Active NPI

Affordable Dentures - Bluff City, P.C.

  • Dentist
  • Bluff City, TN
National Provider Identifier
1730547217
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0000009827 Issued in TN
Legal business name
AFFORDABLE DENTURES - BLUFF CITY, P.C.
Practice address
4516 Highway 11 E
Bluff City, TN 37618-2553
Phone
(423) 538-5197
NPI assigned
Jan 29, 2016
Last updated
Jan 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Terry L BrownNPI 1811089022
Title
DMD/Practice Owner
Phone
(423) 538-5197

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS0000009827 TN Primary

Addresses

Primary practice location

4516 Highway 11 E
Bluff City, TN 37618-2553

Mailing address

4516 Highway 11 E
Bluff City, TN 37618-2553

National Provider Directory

National Provider Directory

Locations

4516 Highway 11 E
Bluff City, TN 37618
Phone (423) 538-5197

Practitioners & affiliated clinicians

Practitioners 4

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": "1454025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1730547217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 HIGHWAY 11 E",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376182553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 HIGHWAY 11 E",
            "city": "BLUFF CITY",
            "state": "TN",
            "postal_code": "376182553",
            "telephone_number": "423-538-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE DENTURES - BLUFF CITY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DMD/PRACTICE OWNER",
        "authorized_official_telephone_number": "423-538-5197"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000009827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bluff City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.