Gary L Kinder, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS0000005211 Issued in TN

Practice address

280 Fort Sanders West Blvd
Suite 117
Knoxville, TN 37922-3351

Phone

(865) 539-6030

Fax

(865) 539-6768

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Living Life Dentistry, PLLC

  dba Living Life Dentistry

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1437728532
  NPD
• Cda - Fort Sanders West

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1104690924
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1982757795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 FORT SANDERS WEST BLVD",
            "address_2": "SUITE 117",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223351",
            "telephone_number": "865-539-6030",
            "fax_number": "865-539-6768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 FORT SANDERS WEST BLVD",
            "address_2": "SUITE 117",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379223351",
            "telephone_number": "865-539-6030",
            "fax_number": "865-539-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDER",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000005211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Kincaid
• Kennette Leanta Kincaid
• Marlaina Kincaid
• Emmalee Marie Kincer
• Brianna Kinder, LPC-MHSP
• Kindred Connections Occupational Therapy
• Kindred Minds Psychiatry, PLLC
• Kindred Nursing Centers Limited Partnership (Kindred Nursing and Rehabilitation - Northhaven)
• Kindred Therapy
• Tammy Renee Kindred, CDA, RDA

• General Practice Dentistry in Knoxville, TN
• Providers in Knoxville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.