Organization Active NPI

Jerrie Jonakin Raines, D.D,S.,PLLC

  • General Practice Dentistry
  • Hixson, TN
National Provider Identifier
1841317633
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3483 Issued in TN
Legal business name
JERRIE JONAKIN RAINES, D.D,S.,PLLC
Practice address
4845 Hixson Pike Ste C
Hixson, TN 37343-4466
Phone
(423) 877-3848
Fax
(423) 877-3726
NPI assigned
Mar 25, 2007
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Dr. Jerrie Jonakin Raines, D.D.S.NPI 1265837108
Title
President
Phone
(423) 877-3848

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
General Practice Dentistry 1223G0001X DS3483 TN Primary

Addresses

Primary practice location

4845 Hixson Pike Ste C
Hixson, TN 37343-4466

Mailing address

1129 Rivercrest Dr
Chattanooga, TN 37415-5626
Phone (423) 877-3848

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1174780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1841317633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 RIVERCREST DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374155626",
            "telephone_number": "423-877-3848",
            "fax_number": "423-877-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4845 HIXSON PIKE STE C",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373434466",
            "telephone_number": "423-877-3848",
            "fax_number": "423-877-3726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRIE JONAKIN RAINES, D.D,S.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-25",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "JERRIE",
        "authorized_official_middle_name": "JONAKIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "423-877-3848",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.