Tara Ericson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TARA ERICSON

Practice address

6311 Kingston Pike Ste 27W
Knoxville, TN 37919-4900

Phone

(865) 588-7862

Fax

(865) 558-6849

NPI assigned

Oct 10, 2018

Organization subpart

No

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

Authorized official

Name

Tammie Moyers

Title

Insurance Coordinator

Phone

(865) 588-7862

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jay Sherwood Desvaux, DDS

  • Dentist
  • Knoxville, TN
  • NPI 1700979010
  NPD (past)
• Zachary Fields

  • Dentist
  • Knoxville, TN
  • NPI 1053779793
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539129600000",
    "number": "1780159368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 27W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-588-7862",
            "fax_number": "865-558-6849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 27W",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194900",
            "telephone_number": "865-588-7862",
            "fax_number": "865-558-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA ERICSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A",
        "authorized_official_last_name": "MOYERS",
        "authorized_official_first_name": "TAMMIE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "865-588-7862"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane C Tanner, CRNA
• Kelsey Tanner
• Stacy Tanner, MD
• Evangeline Mae-Lee Tant
• Taylor Boulware Tapscott, NP
• Melody Tarin, APRN
• Faraz Ahmed Tariq, DDS
• Jack H. Tarr, M.D.
• Luta Tarrant, FNP-C
• Paul Wayne Tarrants, PHARMACIST

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.