UNIVERSITY PEDIATRIC UROLOGY, PC
NPI 1396779039
Specialist in Knoxville, TN

Q: What is University Pediatric Urology, PC's NPI number?

The NPI number for University Pediatric Urology, PC is 1396779039. It was assigned to this organization in the NPPES registry on July 10, 2006.

Q: What is University Pediatric Urology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since July 10, 2006CLIA 44D0954362 · Waiver

2100 W CLINCH AVE STE 120, KNOXVILLE, TN 37916(865) 637-7290(865) 637-7289 Get Directions Write a Review

NPPES record last updated: November 22, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About University Pediatric Urology, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UNIVERSITY PEDIATRIC UROLOGY, PC (NPI 1396779039) is a healthcare organization registered as a specialist in Knoxville, Tennessee and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through November 23, 2026 and lists Dean P Smith, President, as its authorized official.

NPPES Registry Identity

NPI1396779039

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameUNIVERSITY PEDIATRIC UROLOGY, PC

Location Address2100 W CLINCH AVE STE 120Knoxville, TN 37916-2288

Mailing Address2100 W Clinch Ave Ste 120Knoxville, TN 37916-2288 · (865) 637-7290 · Fax (865) 637-7289

Phone(865) 637-7290

Fax(865) 637-7289

Organization SubpartNo

Authorized OfficialDean P SmithPresident · (865) 637-7290

Enumeration DateJuly 10, 2006

Last NPPES UpdateNovember 22, 2010

✔ NPI 1396779039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

2100 W CLINCH AVE STE 120, Knoxville, TN 37916

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Other Identifiers 1

Medicare ID-Type Unspecified3379815

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D0954362

University Pediatric Urology · Knoxville, TN

Active · expires Nov 23, 2026

CLIA Number44D0954362

Laboratory TypePhysician Office

Certificate Effective DateNovember 24, 2024

Certificate Expiration DateNovember 23, 2026

Laboratory DirectorD Preston Smith MD

Laboratory Phone(865) 637-7290

Laboratory LocationUniversity Pediatric Urology2100 Clinch Avenue Suite 120, Knoxville, TN 37916

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is University Pediatric Urology, PC's NPI number?

The NPI number for University Pediatric Urology, PC is 1396779039. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is University Pediatric Urology, PC located?

University Pediatric Urology, PC is located at 2100 W Clinch Ave Ste 120, Knoxville, TN 37916. The listed phone number is (865) 637-7290.

What is University Pediatric Urology, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does University Pediatric Urology, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D0954362) is associated with this NPI, valid through November 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does University Pediatric Urology, PC accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list University Pediatric Urology, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for University Pediatric Urology, PC was last updated on November 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.