Organization Active NPI

Inspire Kids Dental PLLC

  • Pediatric Dentistry
  • Ooltewah, TN
National Provider Identifier
1922703248
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
INSPIRE KIDS DENTAL PLLC
Practice address
5913 Main St Ste 101
Ooltewah, TN 37363-7832
Phone
(909) 255-9362
NPI assigned
Apr 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Authorized official

Name
Dr. Jonathan William Ruminson, DDSNPI 1871963090
Title
Dentist
Phone
(423) 910-9778

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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

5913 Main St Ste 101
Ooltewah, TN 37363-7832

Mailing address

5913 Main St Ste 101
Ooltewah, TN 37363-7832
Phone (909) 255-9362

National Provider Directory

National Provider Directory

Locations

5913 Main St
Ste 101
Ooltewah, TN 37363
Phone (423) 362-7962

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": "1680566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707004800000",
    "number": "1922703248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5913 MAIN ST STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637832",
            "telephone_number": "909-255-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5913 MAIN ST STE 101",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637832",
            "telephone_number": "909-255-9362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE KIDS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-04",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A",
        "authorized_official_last_name": "RUMINSON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "423-910-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "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 4, 2024; 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.