Rocky Top Pediatric Dentistry, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

9858 Issued in TN

Legal business name

ROCKY TOP PEDIATRIC DENTISTRY, LLC

Practice address

10261 Kingston Pike
Knoxville, TN 37922-3276

Phone

(865) 691-1404

Fax

(865) 691-0836

NPI assigned

Dec 23, 2015

Organization subpart

No

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

Authorized official

Name

Leaynne Sellers

Title

Office Manager

Phone

(865) 691-1404

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jeffery B Arrowood, DMD

  • Pediatric Dentistry
  • Knoxville, TN
  • NPI 1033135546
  NPD (past)

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

{
    "created_epoch": "1450828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450828800000",
    "number": "1851756423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10261 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223276",
            "telephone_number": "865-691-1404",
            "fax_number": "865-691-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 KINGSTON PIKE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223276",
            "telephone_number": "865-691-1404",
            "fax_number": "865-691-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY TOP PEDIATRIC DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-23",
        "last_updated": "2015-12-23",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "LEAYNNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-691-1404"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006211",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric H Rockwell, PT
• Jessica Lindley Rockwell, RDH
• Rocky Hill Pharmacy, LLC
• Rocky Top Chiropractic LLC
• Rocky Top Dental Services LLC
• Brittany N Roddy
• Jennifer Rodefer
• Madelyn Rodeffer, MS, CLS
• Rhonda Leann Rodeffer, LPN
• Karen Prince Roden, FNP

• Pediatric Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; 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.