Active NPI
Caleb Canada, DDS
- Dentist
- Chattanooga, TN
National Provider Identifier
1861374969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12915
- Practice address
- 5999 Shallowford Rd
Chattanooga, TN 37421-1683 - Phone
- (423) 899-1112
- NPI assigned
- Jul 22, 2025
- Last updated
- Apr 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12915 | TN | |
| Dentist | 122300000X | 12915 | TN | Primary |
Addresses
Primary practice location
5999 Shallowford Rd
Chattanooga, TN 37421-1683
Mailing address
8102 Hamilton Mill Dr
Chattanooga, TN 37421-2767
Phone (423) 902-6019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12915 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Charles R Quinn II DDS LLC | Current | Accepting new patients |
Locations
651 E 4th St
Ste 301
Chattanooga, TN 37403
Phone (423) 756-0957
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Customized Equipment (DME)
- Chattanooga, TN
- NPI 1801654645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1861374969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8102 HAMILTON MILL DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374212767",
"telephone_number": "423-902-6019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5999 SHALLOWFORD RD",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374211683",
"telephone_number": "423-899-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CANADA",
"first_name": "CALEB",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-07-22",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12915",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12915",
"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 Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.