DR. ROGER WILLIAM CHILDRESS DDS, MD
NPI 1467430538
Dentist - Oral and Maxillofacial Surgery in Chattanooga, TN

Active since January 09, 2006PECOS Enrolled
1350 MACKEY BRANCH DRIVE, SUITE 110, CHATTANOOGA, TN 37421(423) 296-8210(423) 296-8292 Get Directions Write a Review

NPPES record last updated: July 28, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roger William Childress Dds, Md NPPES

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

DR. ROGER WILLIAM CHILDRESS DDS, MD (NPI 1467430538) is an individual oral and maxillofacial surgery provider in Chattanooga, Tennessee, licensed in Tennessee (DS5132) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467430538
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ROGER WILLIAM CHILDRESSCredential: DDS, MD
Location Address1350 MACKEY BRANCH DRIVE, SUITE 110Chattanooga, TN 37421
Mailing Address1350 Mackey Branch Drive, Suite 110Chattanooga, TN 37421 · (423) 296-8210 · Fax (423) 296-8292
Fax(423) 296-8292
Sole ProprietorNo
Enumeration DateJanuary 9, 2006
Last NPPES UpdateJuly 28, 2010
NPI 1467430538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Licenses Licensed in TN · DS5132 Licensed in TN · MS34149
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1350 MACKEY BRANCH DRIVE, Chattanooga, TN 37421

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Roger William Childress Dds, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37421 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Oral and Maxillofacial Surgery)
1350 MACKEY BRANCH DRIVE, ST. 110
CHATTANOOGA, TN 37421

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 Roger Childress's NPI number?

The NPI number for Roger Childress is 1467430538. It was assigned to this individual provider in the NPPES registry on January 9, 2006.

Where is Roger Childress located?

Roger Childress practices at 1350 Mackey Branch Drive Suite 110, Chattanooga, TN 37421. The listed phone number is (423) 296-8210.

What is Roger Childress's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Roger Childress enrolled in Medicare?

Yes. Roger Childress is registered in the Medicare PECOS enrollment system.

What insurance does Roger Childress accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 4 other insurers list Roger Childress 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 Roger Childress was last updated on July 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.