SIMON CHANIN (NPI# 1083124184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083124184 |
| Entity Type | Individual |
| Full Name | SIMON CHANIN |
| Practice Address |
3071 Kirby Whitten Rd Bartlett TN 38134-2822 |
| Mailing Address |
137 E Ge Patterson Ave Apt 102 Memphis TN 38103-4500 |
| Practice Telephone | 9013821564 |
| Mailing Telephone | 9016269480 |
| Enumeration Date | 2017-10-03 |
| Last Update Date | 2020-03-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS0000011186 | TN | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 00000 | OR | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2730 Sw Moody Ave, Department of Orthodontics, Portland, OR 97201 | 5034948921 |
| Street Address |
3071 KIRBY WHITTEN RD |
| City | BARTLETT |
| State | TN |
| Zip Code | 38134-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952425282 | Bartlett Pediatric Dentistry | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2007-03-19 |
| 1790065654 | Lauren Tucker Trammell | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2011-08-24 |
| 1043534829 | Timothy P. Bakelaar, D.m.d, Pllc | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2010-03-23 |
| 1124342910 | Jeff Williams | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2010-03-23 |
| 1699903310 | Larkin Lee Clark | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2009-07-01 |
| 1063695930 | Tim Bakelaar | Dentist | 3071 Kirby Whitten Rd, Bartlett, TN 38134-2822 | 2007-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841839313 | Tiffany Catrell Williams | Technician | 5312 Yellowood Road, Memphis, TN 38134 | 2020-01-02 |
| 1225676489 | Sandra Kay Branch | Technician | 2010 Joe Brooks Dr, Memphis, TN 38134 | 2019-12-18 |
| 1780151092 | Stephen R Hadley | Pharmacist | 3090 Kirby Whitten Rd, Bartlett, TN 38134 | 2018-10-25 |
| 1760962450 | Delta Transportation Services | Non-emergency Medical Transport (VAN) | 2856 Alfaree St, Bartlett, TN 38134 | 2018-08-21 |
| 1013409853 | Chosen Vessel Ministries | Clinic/Center | 6551 Stage Oaks Drive, Suite 4, Bartlett, TN 38134 | 2018-06-06 |
| 1710495858 | Lifetech Ambulance, LLC | Ambulance | 2874 Shelby St Ste 150, Bartlett, TN 38134 | 2018-01-10 |
| 1144744459 | Robin Coughlin | Counselor | 6553 Honeybrook Rd., Memphis, TN 38134 | 2017-07-28 |
| 1174047484 | Shannon Eric Overley | Behavioral Analyst | 5909 Shelby Oaks Drive Suite #100, Memphis, TN 38134 | 2017-07-28 |
| 1063881928 | Nursing Solutions | Nursing Care | 4311 Fiske Valley Drive, Memphis, TN 38134 | 2015-09-22 |
| 1821479254 | Mid-south Healthnet | Community Based Residential Treatment Facility, Mental Illness | 5909 Shelby Oaks Drive Suite 100, Memphis, TN 38134 | 2015-06-11 |
| Find all providers in zip 38134 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205188109 | David Herman Crowder | Dentist | 6597 Summer Knoll Cove, Bartlett, TN 38134 | 2012-10-03 |
| 1861546392 | John Katsis Jr. | Dentist | 110 S Oak Ave, Bartlett, IL 60103-6621 | 2007-01-22 |
| 1194194639 | John Katsis D.d.s., Ltd. | Dentist | 110 S Oak Ave, Bartlett, IL 60103-6621 | 2015-09-15 |
| 1588033013 | Katsis Orthodontic Associates | Dentist | 110 S. Oak Avenue, Bartlett, IL 60103 | 2015-09-15 |
| 1063686772 | The Orthodontic Clinic, P.C. | Dentist | 6637 Summer Knoll Cir, Suite 102, Bartlett, TN 38134-2875 | 2008-04-15 |
| 1891856274 | Michelle M Johnson | Dentist | 6551 Stage Oaks Dr, Suite 2, Bartlett, TN 38134-3895 | 2006-12-12 |
| 1851389050 | Adeola Olubukola Faleye | Dentist | 6637 Summer Knoll Cir, Suite # 102, Bartlett, TN 38134-2875 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523703 | Evan James Agnetta | Dentist | 6311 Kingston Pike Ste 26w, Knoxville, TN 37919-4900 | 2020-09-18 |
| 1619595618 | Allison Jerri Williams | Dentist | 801 Sunset Dr # E5, Johnson City, TN 37604-3033 | 2020-07-07 |
| 1396369054 | John Thomas Houston Iv | Dentist | 125 Cool Springs Blvd # 140, Franklin, TN 37067-6474 | 2020-05-28 |
| 1407499957 | Kevin Michael Peterson | Dentist | 1607 Westgate Cir Ste 400, Brentwood, TN 37027-8080 | 2019-10-28 |
| 1306488622 | Cumberland Pediatric Dentistry and Orthodontics of Cool Springs, Pllc | Dentist | 1201 Liberty Pike, Suite 202-b, Franklin, TN 37067 | 2019-10-09 |
| 1285191767 | Mh Dmd of Tennessee, Pllc | Dentist | 2126 Abbott Martin Rd Ste 168, Nashville, TN 37215-2619 | 2019-02-21 |
| 1245713528 | Lucas Orthodontics Gallatin, Pllc | Dentist | 1710 Nashville Pike, Gallatin, TN 37066-3154 | 2018-09-12 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1902329097 | Carmen Allie Quirk | Dentist | 755 E Veterans Dr, Cookeville, TN 38501-5194 | 2017-07-20 |
| 1568996999 | Jefferson Twomley | Dentist | 1414 Jenkins Rd Ste 146, Chattanooga, TN 37421-3470 | 2017-04-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.