Organization Active NPI

Chattanooga Center Comp. Center

  • Dental Clinic/Center
  • Chattanooga, TN
National Provider Identifier
1831666379
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CHATTANOOGA CENTER COMP. CENTER
Practice address
830 Cherokee Blvd
Chattanooga, TN 37405-3312
Phone
(423) 756-1540
Fax
(423) 756-3462
NPI assigned
Nov 1, 2018
Last updated
Nov 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Authorized official

Name
Dr. Paul Herman Carico III, DDSNPI 1679651525
Title
Dentist/Owner
Phone
(423) 756-1540

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
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

830 Cherokee Blvd
Chattanooga, TN 37405-3312

Mailing address

830 Cherokee Blvd
Chattanooga, TN 37405-3312
Phone (423) 756-1540

National Provider Directory

National Provider Directory

Locations

830 Cherokee Blvd
Chattanooga, TN 37405
Phone (423) 644-7516

Practitioners & affiliated clinicians

Practitioners 1

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": "1541030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541030400000",
    "number": "1831666379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 CHEROKEE BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053312",
            "telephone_number": "423-756-1540",
            "fax_number": "423-756-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 CHEROKEE BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374053312",
            "telephone_number": "423-756-1540",
            "fax_number": "423-756-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHATTANOOGA CENTER COMP. CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-01",
        "last_updated": "2018-11-01",
        "status": "A",
        "authorized_official_last_name": "CARICO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "HERMAN",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "423-756-1540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 1, 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.