Childress & Meyer, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CHILDRESS & MEYER, PLLC

Doing business as

East Brainerd Oral Surgery

Practice address

1350 Mackey Branch Drive
St. 110
Chattanooga, TN 37421-3482

Phone

(423) 296-8210

Fax

(423) 296-8292

NPI assigned

Nov 2, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Lynn Brown, RDA

Title

Office Manager

Phone

(423) 296-8210

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• East Brainerd Oral Surgery Doing business as

Locations

Practitioners 4

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

• Roger William Childress, DDS, MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Chattanooga, TN
  • NPI 1467430538
  NPD (past)
• Karl Meyer, D.D.S., M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Hixson, TN
  • NPI 1518030253
  NPD (past)
• Brandon Cayle Stanley, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Chattanooga, TN
  • NPI 1386954295
  NPD (past)
• Richard Lee Johnson, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Sheppard Afb, TX
  • NPI 1174509665

  Oral and Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1288656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1851691281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DRIVE",
            "address_2": "ST. 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "37421",
            "telephone_number": "423-396-8210",
            "fax_number": "423-296-8292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 MACKEY BRANCH DRIVE",
            "address_2": "ST. 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213482",
            "telephone_number": "423-296-8210",
            "fax_number": "423-296-8292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRESS & MEYER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-02",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "423-296-8210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1521422",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Brainerd Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chickamauga Pediatric Emergency Physicians
• Lawrence T. Chien, MD
• Children'S Dentistry of Chattanooga, PLLC
• Children'S Home Chambliss Shelter
• Children'S University
• Katherine C. Childress, CRNA
• Mark Edward Childress, DNP
• Roger William Childress, DDS, MD
• Kent D Childs, MD
• Chiropractic Arts, LLC

• Oral and Maxillofacial Surgery (Dentist) in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Oral and Maxillofacial Surgery (Dentist) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.