BRENNAN KANE HUMPHREYS (NPI# 1144758574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144758574 |
| Entity Type | Individual |
| Full Name | BRENNAN KANE HUMPHREYS |
| Practice Address |
613 Watauga St Kingsport TN 37660-4429 |
| Practice Telephone | (423) 707-2999 |
| Mailing Telephone | 4237072999 |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-05-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
10533 | TN | Dental Providers |
| Street Address |
613 WATAUGA ST |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780695353 | P & S Pharmacy | Pharmacy | 613 Watauga St, Kingsport, TN 37660-4429 | 2006-08-10 |
| 1902414493 | Chaz M Ainsworth | Dentist | 613 Watauga St, Kingsport, TN 37660-4429 | 2020-07-21 |
| 1992326664 | Jj Beans At P&s LLC | Pharmacy | 613 Watauga St, Kingsport, TN 37660-4429 | 2020-05-04 |
| 1700303922 | Appalachian Dental Group Pllc | Dentist | 613 Watauga St, Ste C, D, & E, Kingsport, TN 37660-4429 | 2017-08-28 |
| 1487845970 | Eric Bradley Wing | Dentist | 613 Watauga St, Suite E, Kingsport, TN 37660-4429 | 2007-08-08 |
| 1396936316 | Douglas Clayton Mullins II & Angel Kaye Mullins, Dds, Pllc | Dentist | 613 Watauga St, Suite E, Kingsport, TN 37660-4429 | 2007-08-05 |
| 1114118130 | Watauga Dental Center, Pllc | Dentist | 613 Watauga St, Suites C, D & E, Kingsport, TN 37660-4429 | 2007-08-05 |
| 1114120151 | Jeffrey Brian Mercer | Dentist | 613 Watauga St, Kingsport, TN 37660-4429 | 2007-06-07 |
| 1467662809 | Kingsport Family Chiropractic Clinic | Chiropractor | 613 Watauga St, Kingsport, TN 37660-4429 | 2007-05-23 |
| 1952528010 | Andrew Ray Hagan | Dentist | 613 Watauga St, Suite D, Kingsport, TN 37660-4429 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760904650 | Aleighia B Helderman, Dmd, Ms, Pllc | Dentist | 1741 Moreland Dr, Kingsport, TN 37663-2088 | 2017-07-12 |
| 1043334824 | Thomas P King | Dentist | 909 North Wilcox Drive, Suite B, Kingsport, TN 37660 | 2007-03-19 |
| 1467412346 | Gary L Fielden | Dentist | 1205 N Wilcox Dr, Kingsport, TN 37660-4922 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879271 | Knoxville Pediatric Dentistry, Pllc | Dentist | 2944 Tazewell Pike Ste 1, Knoxville, TN 37918-1990 | 2020-10-24 |
| 1649886961 | Happy Teeth Pediatric Dentistry | Dentist | 129 Commons Dr, Martin, TN 38237-3882 | 2020-09-22 |
| 1144844879 | Dandridge Pediatric Dentistry | Dentist | 117 E Price Rd, Dandridge, TN 37725-4513 | 2020-05-28 |
| 1831711415 | Nashville Pediatric Dentistry | Dentist | 130 Seaboard Ln Ste A1, Franklin, TN 37067-8221 | 2020-05-18 |
| 1326685132 | East Nashville Pediatric Dentistry, Pllc | Dentist | 1077 E Trinity Ln Ste 104, Nashville, TN 37216-3067 | 2019-11-30 |
| 1285279836 | Lebanon Pediatric Dentistry, LLC | Dentist | 920 S Hartmann Dr, Lebanon, TN 37090-4018 | 2019-11-07 |
| 1225686157 | Brentwood Pediatric Dentistry Maryland Farms, Pllc | Dentist | 5109 Peter Taylor Park Dr Ste 100, Brentwood, TN 37027-7672 | 2019-09-04 |
| 1265087969 | Adventure Pediatric Dentistry, Pllc | Dentist | 6413 Lee Hwy Ste 119, Chattanooga, TN 37421-4861 | 2019-08-08 |
| 1942868336 | Juhn and Stark LLC | Dentist | 2333 Knob Creek Rd Ste 12, Johnson City, TN 37604-2007 | 2019-05-31 |
| 1093286304 | Wright Pediatric Dentistry | Dentist | 8202 Apison Pike, Ooltewah, TN 37363 | 2018-12-13 |
| 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.