Active NPI
Head & Neck Specialties, PC
- Otolaryngology Physician
- Chattanooga, TN
National Provider Identifier
1750570974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- MD008053
- Legal business name
- HEAD & NECK SPECIALTIES, PC
- Practice address
- 1755 Gunbarrel Rd
Suite 301
Chattanooga, TN 37421-7137 - Phone
- (423) 778-8582
- Fax
- (423) 778-8594
- NPI assigned
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David R Barnes, M.D.
- Title
- President
- Phone
- (423) 778-8582
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | MD008053 | TN | Primary |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | MD021123 | TN |
Addresses
Primary practice location
1755 Gunbarrel Rd
Suite 301
Chattanooga, TN 37421-7137
Mailing address
1755 Gunbarrel Rd
Suite 301
Chattanooga, TN 37421-7137
Phone (423) 778-8582
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3701940 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1750570974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1755 GUNBARREL RD",
"address_2": "SUITE 301",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217137",
"telephone_number": "423-778-8582",
"fax_number": "423-778-8594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 GUNBARREL RD",
"address_2": "SUITE 301",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374217137",
"telephone_number": "423-778-8582",
"fax_number": "423-778-8594"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAD & NECK SPECIALTIES, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "BARNES",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "423-778-8582",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "TN",
"license": "MD008053",
"primary": true
},
{
"code": "207YX0905X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "TN",
"license": "MD021123",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3701940",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.