DR. ERIK EYVIND JANSEN (NPI# 1669489399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669489399 |
Entity Type | Individual |
Full Name | DR. ERIK EYVIND JANSEN |
Credential | DMD |
Practice Address |
1720 Gunbarrel Rd Suite 308 Chattanooga TN 37421-3192 |
Practice Telephone | 4238923131 |
Practice Fax Number | 4238923902 |
Mailing Telephone | 4238923131 |
Mailing Fax Number | 4238923902 |
Enumeration Date | 2006-08-02 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
DS7328 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | BLUECROSS BLUESHIELD | 4043783 | 01 |
TN | UNITED CONCORDIA | 342767 | 01 |
Street Address |
1720 GUNBARREL RD SUITE 308 |
City | CHATTANOOGA |
State | TN |
Zip Code | 37421-3192 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295728863 | Mark R. Kapperman | Optometrist | 1720 Gunbarrel Rd, Ste 100, Chattanooga, TN 37421-3192 | 2005-08-29 |
1639633357 | Upperline Healthcare, PC | Podiatrist | 1720 Gunbarrel Rd, Chattanooga, TN 37421-4144 | 2019-01-27 |
1871026070 | Grayson Evan Mcconnell | Family Medicine | 1720 Gunbarrel Rd, Chattanooga, TN 37421-4144 | 2017-04-05 |
1497131361 | Andrew Tran | Optometrist | 1720 Gunbarrel Rd, Ste 100, Chattanooga, TN 37421-4144 | 2015-08-03 |
1841571718 | St Joseph Clinic, P.C. | Physician Assistant | 1720 Gunbarrel Rd, Suite 108, Chattanooga, TN 37421-4144 | 2011-09-06 |
1568618171 | Robert Craig Mcgarvey Jr. | Optometrist | 1720 Gunbarrel Rd, Suite 100, Chattanooga, TN 37421-3192 | 2008-08-14 |
1770743601 | Children's Dentistry of Chattanooga, Pllc | Dentist | 1720 Gunbarrel Rd, Suite 310, Chattanooga, TN 37421-3192 | 2008-06-13 |
1124295480 | Chattanooga Oral & Maxillofacial Surgery, Plc | Dentist | 1720 Gunbarrel Rd, Suite 200, Chattanooga, TN 37421-3192 | 2008-05-14 |
1568665297 | Alan D. Hughes | Nuclear Medicine | 1720 Gunbarrel Rd, Suite 306, Chattanooga, TN 37421-3192 | 2007-06-08 |
1699976076 | East Brainerd Internal Medicine, PC | Internal Medicine | 1720 Gunbarrel Rd, Suite 110, Chattanooga, TN 37421-3192 | 2007-05-31 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558991588 | Janera Pentiah | Physician Assistant | 1360 Mackey Branch Dr, Chattanooga, TN 37421 | 2020-01-17 |
1750921367 | Stephan Ian Belasco | Counselor | 1360 Mackey Branch Dr., Chattanooga, TN 37421 | 2020-01-11 |
1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
1245875046 | Chattanooga Compounding Pharmacy Inc. | Pharmacy | 7032 East Brainerd Rd, Suite A-b, Chattanooga, TN 37421 | 2019-11-15 |
1083105803 | Trauma and Addiction Recovery Center | Counselor | 6727 Heritage Business Ct Ste 718, Chattanooga, TN 37421 | 2018-05-29 |
1497257448 | Claude James Bowden | Counselor | 7372 Applegate Lane, Chattanooga, TN 37421 | 2018-03-06 |
1093213332 | Preferred Primary Care | Clinic/Center | 6031 Shallowford Rd Ste 105, Chattanooga, TN 37421 | 2018-01-31 |
1124526777 | Elizabeth Marie Wright | Nurse Practitioner | 6130 Shallowford Rd Ste 101, Chattanooga, TN 37421 | 2018-01-30 |
1477065712 | Publix Tennessee LLC | Durable Medical Equipment & Medical Supplies | 7326 Mccutcheon Rd, Chattanooga, TN 37421 | 2017-10-26 |
1144746645 | Mobility At Home LLC | Contractor | 6307 E Brainerd Rd, Chattanooga, TN 37421 | 2017-08-16 |
Find all providers in zip 37421 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194885376 | Southeastern Endodontics | Dentist | 2030 Hamilton Place Blvd, Ste. 380, Chattanooga, TN 37421-6038 | 2006-12-11 |
1164509824 | John Pollard Hoover Jr. | Dentist | 6101 Shallowford Rd, Suite 101, Chattanooga, TN 37421-7802 | 2006-11-01 |
1174526727 | Kevin P Bryant | Dentist | 1001 Carter St, Ste H, Chattanooga, TN 37402-5014 | 2005-05-27 |
1336354257 | Joel Warner Berlin | Dentist | 6425 Bonny Oaks Dr, Suite 101, Chattanooga, TN 37416-6003 | 2007-05-14 |
1023131364 | Endodontic Group PC | Dentist | 1001 Carter St, Suite H, Chattanooga, TN 37402-5014 | 2007-04-10 |
1932209210 | Joe L Mosier | Dentist | 1001 Carter St, Chattanooga, TN 37402-5014 | 2006-09-25 |
1912914631 | Joseph Britton Milholm | Dentist | 1720 Gunbarrel Rd, Suite 308, Chattanooga, TN 37421-3192 | 2006-08-02 |
1134143712 | East Tennessee Endodontics, Pllc | Dentist | 1720 Gunbarrel Rd, Suite 308, Chattanooga, TN 37421-3192 | 2006-07-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497353080 | Assured Endodontics, Pllc | Dentist | 2026 Exeter Rd Unit J-2, Germantown, TN 38138-3965 | 2020-10-15 |
1417414350 | Mid South Endodontics Pllc | Dentist | 1918 Exeter Rd Unit 1, Germantown, TN 38138-2970 | 2019-02-27 |
1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
1649630534 | Josanne Mildred O'dell | Dentist | 2060 Steeplebrook Dr, Cordova, TN 38016-5075 | 2016-03-04 |
1558731463 | Cumberland Endodontics Pllc | Dentist | 1528 Hunt Club Blvd, Suite 410, Gallatin, TN 37066-6036 | 2015-10-05 |
1811398951 | Poppy Montana-marie Blaseio | Dentist | 5111 Maryland Way Ste 209, Brentwood, TN 37027-7513 | 2014-09-09 |
1982021291 | Heritage Park Endodontics | Dentist | 538 Brandies Cir, Ste 105, Murfreesboro, TN 37128-7698 | 2014-03-25 |
1821438722 | Riley Beth Sturgill | Dentist | 2800 Peoples St Ste 60, Johnson City, TN 37604-4158 | 2013-06-25 |
1255629028 | Dental Specialists of Nashville, Pllc | Dentist | 447 Murfreesboro Pike, Nashville, TN 37210-2842 | 2011-07-14 |
1558659516 | Mack Endodontics Dds P.C. | Dentist | 5180 Park Ave Ste 300, Memphis, TN 38119-3531 | 2011-07-12 |
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City | CHATTANOOGA |
Zip Code | 37421 |
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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.