Brian K Schenck, DDS

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DS7666 Issued in TN

Practice address

4845 Hixson Pike
Hixson, TN 37343-4466

Phone

(423) 875-4812

Fax

(423) 875-4814

NPI assigned

Oct 31, 2005

Last updated

Apr 23, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Brian K Schenck Oral Surgery, PC

  dba Chattanooga OMS, PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Hixson, TN
  • NPI 1720250954
  Medicare reassignment NPD

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1740271659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1446",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434466",
            "telephone_number": "423-875-4812",
            "fax_number": "423-875-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434466",
            "telephone_number": "423-875-4812",
            "fax_number": "423-875-4814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHENCK",
        "first_name": "BRIAN",
        "middle_name": "K",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "DS7666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440088",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Michael Sapala, DMD
• Jeanne Andree Scanland, MD
• Elizabeth Erin Scarbrough, D.O.
• Scenic City Oral Surgery, PLLC
• Scenic City Pediatric Therapy LLC
• Kenneth L Schenck Jr., DDS
• Linda D Schock
• Tracy Deborah Schultz, PSYD
• Aaron Robert Schumacher, ATC
• Chelsea Southerland Schwind, DDS

• Oral and Maxillofacial Surgery (Dentist) in Hixson, TN
• Providers in Hixson, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.