TENNESSEE RIVER DENTAL, PLLC
NPI 1568854875
Clinic/Center - Dental in Hixson, TN
NPI Status: Active since February 23, 2015
Contact Information
4845 HIXSON PIKE STE C
HIXSON, TN
ZIP 37343
Phone: (423) 877-3848
Fax: (423) 877-3726
- Organization
- Clinic/Center
- Dental
- CLIA Number: 44D1035845
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-21-2026
About TENNESSEE RIVER DENTAL, PLLC
This page provides the complete NPI Profile along with additional information for Tennessee River Dental, Pllc, a provider established in Hixson, Tennessee operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1568854875 assigned on February 2015. The practitioner's primary taxonomy code is 261QD0000X with license number 9947 (TN). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Dr. Marcus Kenneth Randall D.m.d. (Owner)
- NPI
- 1568854875
- Provider Name
- TENNESSEE RIVER DENTAL, PLLC
- Entity Type
- Organization
- Location Address
- 4845 HIXSON PIKE STE C HIXSON, TN 37343
- Location Phone
- (423) 877-3848
- Location Fax
- (423) 877-3726
- Mailing Address
- 4845 HIXSON PIKE STE C HIXSON, TN 37343
- Mailing Phone
- (423) 877-3848
- Mailing Fax
- (423) 877-3726
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-23-2015
- Last Update Date
- 02-23-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 9947
- License State
- TN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center | 3483 (TN) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 44D1035845
- Facility Type
- Physician Office
- Certificate Effective Date
- February 22, 2024
- Certificate Expiration Date
- February 21, 2026
- Laboratory Director
- DR. STEVEN DRESKIN
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Tennessee River Dental, Pllc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
Reviews for TENNESSEE RIVER DENTAL, PLLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1568854875, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 75 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
HIXSON, TN 37343
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568854875, enumerated as an "organization" on February 23, 2015.
The provider is located at 4845 HIXSON PIKE STE C HIXSON, TN 37343 and the phone number is (423) 877-3848.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
