Organization Active NPI

Deane Hill Dentistry, LLC

  • General Practice Dentistry
  • Knoxville, TN
National Provider Identifier
1881320190
Registry record updated Aug 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DEANE HILL DENTISTRY, LLC
Practice address
6311 Kingston Pike Ste 8
Knoxville, TN 37919-4906
Phone
(865) 584-8630
NPI assigned
Jul 28, 2022
Organization subpart
Yes
Parent organization
EAST TENNESSEE FAMILY DENTISTRY, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2022

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

Authorized official

Name
Amber Dyer
Title
Office Manager
Phone
(865) 482-1701

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

6311 Kingston Pike Ste 8
Knoxville, TN 37919-4906

Mailing address

150 E Division Rd Ste 6
Oak Ridge, TN 37830-6908
Phone (865) 482-1701

Other identifiers 1

IdentifierTypeStateIssuer
1518585918OtherTNINDIVIDUAL NPI

National Provider Directory

National Provider Directory
Part of
East Tennessee Family Dentistry LLC

Locations

6311 Kingston Pike
Ste 8
Knoxville, TN 37919
Phone (865) 584-8630

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659571200000",
    "number": "1881320190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E DIVISION RD STE 6",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306908",
            "telephone_number": "865-482-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6311 KINGSTON PIKE STE 8",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379194906",
            "telephone_number": "865-584-8630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEANE HILL DENTISTRY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST TENNESSEE FAMILY DENTISTRY, LLC",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-08-04",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "865-482-1701"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1518585918",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.