Active NPI
Robert Lee Pryor, DDS MS
- Pediatric Dentistry
- Oak Ridge, TN
National Provider Identifier
1831208511
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS0000004086
- Practice address
- 126 East Division Road
Oak Ridge, TN 37830 - Phone
- (865) 481-0008
- Fax
- (865) 481-0695
- NPI assigned
- Aug 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS0000004086 | TN | Primary |
Addresses
Primary practice location
126 East Division Road
Oak Ridge, TN 37830
Mailing address
126 East Division Road
Oak Ridge, TN 37830
Phone (865) 481-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000004086 | TN | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831208511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 EAST DIVISION ROAD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-481-0008",
"fax_number": "865-481-0695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 EAST DIVISION ROAD",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "37830",
"telephone_number": "865-481-0008",
"fax_number": "865-481-0695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "ROBERT",
"middle_name": "LEE",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "DS0000004086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.