Active NPI
Team Popp Dental, PLLC
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chattanooga, TN
National Provider Identifier
1841383437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4125
- Legal business name
- TEAM POPP DENTAL, PLLC
- Practice address
- 4211 Hixson Pike
Chattanooga, TN 37415 - Phone
- (423) 870-8787
- Fax
- (423) 875-6489
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas W Popp, DDS, MSD
- Title
- Owner
- Phone
- (423) 870-8787
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 4125 | TN | Primary |
Addresses
Primary practice location
4211 Hixson Pike
Chattanooga, TN 37415
Mailing address
4211 Hixson Pike
Chattanooga, TN 37415
Phone (423) 870-8787
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7499386 | Other | TN | UNITED CONCORDIA |
| 0017078 | Other | TN | DORAL |
| 0017079 | Other | TN | DORAL |
| 0039969 | Other | TN | BCBS OF TN |
| 4024712 | Other | TN | BCBS OF TN |
| 3072971 | Other | TN | BCBS OF TN |
| 820674 | Other | TN | UNITED CONCORDIA |
Other names 1
- Dr Thomas W Popp Orthodontic Specialist, PLLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chattanooga, TN
- NPI 1023009750
-
- General Practice Dentistry
- Chattanooga, TN
- NPI 1114659802
-
- Pediatric Dentistry
- Chattanooga, TN
- NPI 1104286566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650240000000",
"number": "1841383437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4211 HIXSON PIKE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37415",
"telephone_number": "423-870-8787",
"fax_number": "423-875-6489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4211 HIXSON PIKE",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "37415",
"telephone_number": "423-870-8787",
"fax_number": "423-875-6489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEAM POPP DENTAL, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-02",
"last_updated": "2022-04-18",
"certification_date": "2022-04-18",
"status": "A",
"authorized_official_last_name": "POPP",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "423-870-8787",
"authorized_official_credential": "DDS, MSD"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TN",
"license": "4125",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "7499386",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "0017078",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DORAL",
"identifier": "0017079",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "0039969",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4024712",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "3072971",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "820674",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Thomas W Popp Orthodontic Specialist, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Apr 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.