JASON STREVER (NPI# 1518382506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518382506 |
| Entity Type | Individual |
| Full Name | JASON STREVER |
| Credential | DMD, MS |
| Practice Address |
5022 Old Godsey Ln Ste 1 Hixson TN 37343-6604 |
| Practice Telephone | (423) 870-9567 |
| Mailing Telephone | (423) 870-9567 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2017-07-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
10437 | TN | Dental Providers |
| Street Address |
5022 OLD GODSEY LN STE 1 |
| City | HIXSON |
| State | TN |
| Zip Code | 37343-6604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049542 | North River Perio Pllc | Dentist | 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 | 2018-07-02 |
| 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 | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477049542 | North River Perio Pllc | Dentist | 5022 Old Godsey Ln Ste 1, Hixson, TN 37343-6604 | 2018-07-02 |
| 1720292907 | Charles L Mcbrayer | Dentist | 5022 Old Godsey Lane, Hamill Professional Centre Suite 1, Hixson, TN 37343 | 2007-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295157519 | Danny Adkins, D.d.s. | Dentist | 1301 Old Weisgarber Road, Knoxville, TN 37909 | 2014-01-07 |
| 1285946517 | John David Meister | Dentist | 1177 Old Hickory Blvd., Ste. 101, Brentwood, TN 37027-4242 | 2010-07-01 |
| 1770814261 | Thomas Faerber | Dentist | 118 Medical Ct, Clarksville, TN 37043-4602 | 2010-01-22 |
| 1184875627 | Michael Patrick Madigan | Dentist | 117 Capital Dr, Knoxville, TN 37922-3393 | 2008-10-02 |
| 1407030158 | Ted Craig Bleckstein | Dentist | 1085 River Village Ln, Afton, TN 37616-6219 | 2007-12-18 |
| 1659579472 | Matthew L Heaton | Dentist | 140 E Market Place Blvd, Knoxville, TN 37922 | 2007-07-03 |
| 1497959761 | Joseph Wade Gaither | Dentist | 301 Uptown Sq, Murfreesboro, TN 37129-0574 | 2007-06-12 |
| 1821206111 | Heather Keck Ridgway | Dentist | 510 Brennan Ln, Franklin, TN 37067-6235 | 2007-05-18 |
| 1376764688 | Ronald Loy Kilgore | Dentist | 8912 Town and Country Circle, Knoxville, TN 37923-4900 | 2007-05-02 |
| 1558588848 | Ronald Fulton Godat | Dentist | 210 Lockport Cir, Kingsport, TN 37664-5278 | 2007-04-19 |
| 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.