PICKERING & ALLEN ORTHODONTICS (NPI# 1659996320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659996320 |
| Entity Type | Organization |
| Organization Name | PICKERING & ALLEN ORTHODONTICS |
| Practice Address |
4741 N Broadway St Knoxville TN 37918-1793 |
| Mailing Address |
4741 N Broadway St Ste C Knoxville TN 37918-1793 |
| Practice Telephone | 8656879412 |
| Practice Fax Number | 8656880656 |
| Mailing Telephone | 8656879412 |
| Mailing Fax Number | 8656880656 |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2020-06-09 |
| Authorized Official Name | TERRI A. HANCOCK (OFFICE COORDINATOR) |
| Authorized Official Telephone | 8656879412 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | Q037787 | 05 | |
| TN | Q006553 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 Capital Dr Ste 104, Knoxville, TN 379223475 | 8656879412 | 8656880656 |
| Street Address |
4741 N BROADWAY ST |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37918-1793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895305 | David Joel Maxey | Social Worker | 4741 N Broadway St, Knoxville, TN 37918-1793 | 2005-07-18 |
| 1992236616 | Tyler Reed Allen | Dentist | 4741 N Broadway St, Suite C, Knoxville, TN 37918-1793 | 2017-03-23 |
| 1740406487 | James Thomas Pickering | Dentist | 4741 N Broadway St, Knoxville, TN 37918-1793 | 2007-04-18 |
| 1750459103 | Nancy L. Phillips | Pediatrics | 4741 N Broadway St, Knoxville, TN 37918-1793 | 2006-12-02 |
| 1457427585 | Monica Lee Black | Pediatrics | 4741 N Broadway St, Knoxville, TN 37918-1793 | 2006-11-28 |
| 1841399284 | Joe Wiiliam Black IIi | Specialist | 4741 N Broadway St, Knoxville, TN 37918-1793 | 2006-09-22 |
| 1841249448 | Victoria A. Amos | Social Worker | 4741 N Broadway St, Suite A, Knoxville, TN 37918-1793 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639636145 | Samantha Fuhrmann | Physical Therapy Assistant | Beverly Park Place Health and Rehab, 5321 Beverly Park Circle, Knoxville, TN 37918 | 2019-02-21 |
| 1043701741 | Lauren Lea Wilson | Student in an Organized Health Care Education/Training Program | 4230 Homewood Rd, Knoxville, TN 37918 | 2018-05-29 |
| 1164790317 | Jennifer Young Brooks | Pharmacist | 5006 North Broadway, Knoxville, TN 37918 | 2011-12-02 |
| 1215213194 | Lu Miller | Pharmacist | 5006 N Broadway, Knoxville, TN 37918 | 2011-10-24 |
| 1326353475 | Lauren Joy Stone | Optometrist | 4829 N Broadway St Ste 103, Knoxville, TN 37918 | 2010-08-13 |
| 1699004531 | Larry Kyle Sowder | Dentist | 2944 Tazewell Pk, Ste #2, Knoxville, TN 37918 | 2009-12-23 |
| 1922233881 | Andrea' Lamar Farrior | Dentist | 2937 Essary Rd., Dr. Michael Edenfield, Knoxville, TN 37918 | 2009-05-21 |
| 1053558510 | Love-hope Academy | Counselor | 3826 Tiberius Rd Ste 315, Knoxville, TN 37918 | 2009-01-20 |
| 1497910293 | Diana Lynn Mccoy | Psychologist | 5019 Jacksboro Pike, Knoxville, TN 37918 | 2008-07-22 |
| 1740498088 | Kathleen M Riley | Pharmacist | K-mart Pharmacy #7460, 6906 Manardville Pike Ne, Knoxville, TN 37918 | 2007-05-18 |
| Find all providers in zip 37918 | ||||
| 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 |
|---|---|---|---|---|
| 1013523703 | Evan James Agnetta | Dentist | 6311 Kingston Pike Ste 26w, Knoxville, TN 37919-4900 | 2020-09-18 |
| 1821431149 | Joseph Hicks | Dentist | 11221 W Point Dr, Knoxville, TN 37934-2838 | 2013-04-17 |
| 1285904425 | W Thomas Pattison | Dentist | 5202 Schubert Rd, Knoxville, TN 37912-3834 | 2012-01-05 |
| 1467783787 | Samuel Grayson Eddy Jr. | Dentist | 3221 W John Sevier Hwy, Knoxville, TN 37920-5540 | 2010-01-26 |
| 1659566354 | Robert Andrew Turner | Dentist | 120 Capitol Dr, Suite 104, Knoxville, TN 37922-3475 | 2007-09-06 |
| 1497812036 | Dana Ray Martin | Dentist | 9950 Kingston Pike, Suite 210, Knoxville, TN 37922-3319 | 2007-01-02 |
| 1730266594 | Hicks Orthodontics | Dentist | 11221 W Point Drive, Knoxville, TN 37934-2838 | 2006-11-01 |
| 1740386150 | Christopher O'rourke | Dentist | 11226 W Point Dr, Knoxville, TN 37934-2837 | 2006-09-15 |
| 1295830198 | Richard M. Bowles | Dentist | 309 Concord St # C, Knoxville, TN 37919-3304 | 2006-09-14 |
| 1336244243 | Ryan G. Bowles | Dentist | 2276 Valley Vista Road, Knoxville, TN 37932 | 2006-09-14 |
| Find all providers in KNOXVILLE | ||||
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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.