Active NPI
David H. Otis, D.D.S.
- Dental Clinic/Center
- Ooltewah, TN
National Provider Identifier
1881151991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- DAVID H. OTIS, D.D.S.
- Practice address
- 4957 Swinyar Dr Ste 107
Ooltewah, TN 37363-2205 - Phone
- (423) 396-3154
- Fax
- (423) 396-3156
- NPI assigned
- Feb 25, 2019
- Last updated
- Feb 25, 2019
- 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
- Dr. David H Otis, DDS
- Title
- Dentist
- Phone
- (423) 396-3154
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 |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
4957 Swinyar Dr Ste 107
Ooltewah, TN 37363-2205
Mailing address
4957 Swinyar Dr Ste 107
Ooltewah, TN 37363-2205
Phone (423) 396-3154
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, and the practitioner matching its NPPES authorized official.
-
- General Practice Dentistry
- Ooltewah, TN
- NPI 1871639351
-
- General Practice Dentistry
- Collegedale, TN
- NPI 1891613154
-
- General Practice Dentistry
- Ooltewah, TN
- NPI 1669104451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551052800000",
"number": "1881151991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4957 SWINYAR DR STE 107",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373632205",
"telephone_number": "423-396-3154",
"fax_number": "423-396-3156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4957 SWINYAR DR STE 107",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373632205",
"telephone_number": "423-396-3154",
"fax_number": "423-396-3156"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID H. OTIS, D.D.S.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-25",
"last_updated": "2019-02-25",
"status": "A",
"authorized_official_last_name": "OTIS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "423-396-3154",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ooltewah, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.