Individual provider Active NPI

Emily O'Hara, DDS

  • Dentist
  • Chattanooga, TN
National Provider Identifier
1992356943
Registry record updated Jul 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11039 Issued in TN
Practice address
2217 Olan Mills Dr
Chattanooga, TN 37421-1891
Phone
(509) 434-6557
NPI assigned
Sep 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11039 TN Primary

Addresses

Primary practice location

2217 Olan Mills Dr
Chattanooga, TN 37421-1891

Mailing address

2217 Olan Mills Dr
Chattanooga, TN 37421-1891
Phone (509) 434-6557

Other practice location 1

9200 113th St
Seminole, FL 33772-2800
Phone (727) 394-6064

Other practice location 2

148 Stuart Xing NE
Cleveland, TN 37312-4065
Phone (423) 472-6482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11039TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Smile Revolution PLLC Dentist CurrentSince Sep 17, 2023 Accepting new patients
Winn Smiles Shallowford, PLLC Dentist CurrentSince Jul 24, 2022 Accepting new patients

Locations

2217 Olan Mills Dr
Chattanooga, TN 37421
Phone (423) 599-8363

148 Stuart Xing NE
Cleveland, TN 37312
Phone (423) 472-6482

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1569024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657929600000",
    "number": "1992356943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211891",
            "telephone_number": "509-434-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 OLAN MILLS DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211891",
            "telephone_number": "509-434-6557"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 113th St",
            "address_purpose": "LOCATION",
            "city": "Seminole",
            "state": "FL",
            "postal_code": "337722800",
            "country_code": "US",
            "telephone_number": "727-394-6064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 Stuart Xing NE",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "TN",
            "postal_code": "373124065",
            "country_code": "US",
            "telephone_number": "423-472-6482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'HARA",
        "first_name": "EMILY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-21",
        "last_updated": "2022-07-16",
        "certification_date": "2022-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11039",
            "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 Jul 16, 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.