STANDIFER ORTHODONTICS, PLLC (NPI# 1174066724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174066724 |
| Entity Type | Organization |
| Organization Name | STANDIFER ORTHODONTICS, PLLC |
| Practice Address |
1724 Hamill Rd Suite 202 Hixson TN 37343-5152 |
| Practice Telephone | 4238776485 |
| Mailing Telephone | 4238776485 |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-12-05 |
| Authorized Official Name | DR. DENNIS W STANDIFER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 4238776485 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
4021 | TN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q001383 | 05 |
| Street Address |
1724 HAMILL RD SUITE 202 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-5152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619968344 | Dennis W Standifer | Dentist | 1724 Hamill Rd, Suite 202, Hixson, TN 37343-5152 | 2005-11-02 |
| 1831622570 | Sonia Bravo | Dentist | 1724 Hamill Rd, Suite 202, Hixson, TN 37343-5152 | 2017-04-10 |
| 1730630625 | Elysia P. Belva D.d.s., P.l.l.c. | Clinic/Center | 1724 Hamill Rd, Suite 114, Hixson, TN 37343-5152 | 2016-10-17 |
| 1558778308 | Lauren Stone | Audiologist | 1724 Hamill Rd, Oasis Park Building Suite 102, Hixson, TN 37343-5152 | 2014-07-14 |
| 1811283252 | Alexander Decosta Sokohl | Otolaryngology | 1724 Hamill Rd, Suite 102, Hixson, TN 37343-5152 | 2011-06-23 |
| 1447424478 | Amy Stevenson | Audiologist | 1724 Hamill Rd, Oasis Park Building I, Suite 102, Hixson, TN 37343-4905 | 2008-04-22 |
| 1255505145 | Kimberly Morgan Howard | Audiologist | 1724 Hamill Rd, Oasis Park Building I, Suite 102, Hixson, TN 37343-4905 | 2008-04-22 |
| 1871513424 | Peter M Hunt | Specialist | 1724 Hamill Rd, Ste 102, Hixson, TN 37343-4905 | 2006-07-19 |
| 1790722726 | Sara Elizabeth Wilkens | Audiologist | 1724 Hamill Rd, Suite 102, Hixson, TN 37343-5152 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689208480 | The Fun In Function LLC | Occupational Therapy Assistant | 5251 Hwy 153 Ste C, Pmb 264, Hixson, TN 37343 | 2020-03-02 |
| 1356902878 | Artha Julia Black | Dentist | 5756 Tn-153, Suite 128, Hixson, TN 37343 | 2019-06-25 |
| 1548749625 | Ramyadevi Ramamoorthi | Physical Therapist | 5000 Alpha Lane, Hixson, TN 37343 | 2018-08-09 |
| 1053800458 | Hixson Pharmacy Inc | Pharmacy | 5508 Hixson Pharmacy, Suite 1, Hixson, TN 37343 | 2018-05-02 |
| 1225531304 | Carrie Marie Stanage | Occupational Therapist | 5251 C Hwy 153, Pmb# 264, Hixson, TN 37343 | 2018-03-14 |
| 1124540117 | Nicole Ashley Uchida | Physical Therapist | 5022 Old Godsey Ln Ste 0, Hixson, TN 37343 | 2017-07-11 |
| 1740700400 | Toni Maxwell | Nurse Practitioner | 5741 Highway 153 Ste 117, Hixson, TN 37343 | 2017-06-23 |
| 1417366717 | Debra C. Wiertel | Nutritionist | 1963 Northpoint Blvd 109, Hixson, TN 37343 | 2014-08-12 |
| 1922386606 | Donna April Frye | Pharmacist | 5411 Highway 153, Hixson, TN 37343 | 2011-07-28 |
| 1437448172 | Janna Aislinn Mcmahan | Nurse Practitioner | 5211 Hwy 153, Suite M, Hixson, TN 37343 | 2011-04-04 |
| Find all providers in zip 37343 | ||||
| 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 |
|---|---|---|---|---|
| 1215076203 | Jill P. Hodges | Dentist | 5470 Hixson Pike Ste B, Hixson, TN 37343-3299 | 2007-02-06 |
| 1447324710 | Thomas Craig Flanagan | Dentist | 4703 Hixson Pike, Hixson, TN 37343-4818 | 2006-11-20 |
| 1619968344 | Dennis W Standifer | Dentist | 1724 Hamill Rd, Suite 202, Hixson, TN 37343-5152 | 2005-11-02 |
| 1477549178 | Don F Flanagan Dds Ms PC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2005-09-27 |
| 1831622570 | Sonia Bravo | Dentist | 1724 Hamill Rd, Suite 202, Hixson, TN 37343-5152 | 2017-04-10 |
| 1730327644 | Jaw, LLC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2009-01-30 |
| 1013095207 | Don F. Flanagan Dds Ms PC | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-11-02 |
| 1356444384 | Bradley John Jacobs | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-09-06 |
| 1619997590 | Kristen Walters Jacobs | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2006-07-20 |
| 1639169030 | Don F Flanagan | Dentist | 1005 Executive Dr, Suite 105, Hixson, TN 37343-7903 | 2005-10-26 |
| Find all providers in HIXSON | ||||
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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.