NPIMap

Organization Active NPI

Brogdon Dental PC

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1962811653
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4202 Issued in TN
Legal business name
BROGDON DENTAL PC
Practice address
3920 Dayton Blvd
Chattanooga, TN 37415-2716
Phone
(423) 870-5698
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Authorized official

Name
Joseph Brogdon, DDSNPI 1083735286
Title
Dentist
Phone
(423) 870-5698

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4202 TN Primary

Addresses

Primary practice location

3920 Dayton Blvd
Chattanooga, TN 37415-2716

Mailing address

3920 Dayton Blvd
Chattanooga, TN 37415-2716
Phone (423) 870-5698

National Provider Directory

National Provider Directory

Locations

3920 Dayton Blvd
Chattanooga, TN 37415
Phone (423) 870-5698

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": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407283200000",
    "number": "1962811653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 DAYTON BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152716",
            "telephone_number": "423-870-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 DAYTON BLVD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374152716",
            "telephone_number": "423-870-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROGDON DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2014-08-06",
        "status": "A",
        "authorized_official_last_name": "BROGDON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "423-870-5698",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "4202",
            "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 Aug 6, 2014; 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.