NPIMap

Organization Active NPI

Pediatric Dentistry of Cleveland, LLC

  • Pediatric Dentistry
  • Cleveland, TN
National Provider Identifier
1770695355
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7763 Issued in TN
Legal business name
PEDIATRIC DENTISTRY OF CLEVELAND, LLC
Practice address
430 Stuart Rd NE
Suite 1
Cleveland, TN 37312-4918
Phone
(423) 476-2160
Fax
(423) 476-2680
NPI assigned
Aug 31, 2006
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Dr. Chad S Eslinger, DDSNPI 1326037623
Title
Dentist
Phone
(423) 476-2160

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
Pediatric Dentistry 1223P0221X 7763 TN Primary

Addresses

Primary practice location

430 Stuart Rd NE
Suite 1
Cleveland, TN 37312-4918

Mailing address

150 Stuart Xing NE
Cleveland, TN 37312-4065
Phone (423) 476-2160

Other identifiers 1

IdentifierTypeStateIssuer
3206748MedicaidTN

National Provider Directory

National Provider Directory

Locations

150 Stuart Xing NE
Cleveland, TN 37312
Phone (423) 476-2160

430 Stuart Rd NE
Ste 1
Cleveland, TN 37312
Phone (423) 559-0157

Practitioners & affiliated clinicians

Practitioners 5

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1770695355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STUART XING NE",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124065",
            "telephone_number": "423-476-2160",
            "fax_number": "423-476-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 STUART RD NE",
            "address_2": "SUITE 1",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124918",
            "telephone_number": "423-476-2160",
            "fax_number": "423-476-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTISTRY OF CLEVELAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "ESLINGER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "423-476-2160",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "7763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3206748",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.

Verify at the official NPI Registry.