| NPI | 1316905862 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-05-03 |
| Last Updated | 2026-04-02 |
| Mailing Address | Po Box 23329 New York, NY 10087-3329 United States 📍 View Map |
| Primary Practice Address | 123 Fox Rd Knoxville, TN 37922-3369 United States Phone: (865) 690-9467 | Fax: (865) 637-5057 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | TN | 3874778 | Blue Cross |
| Other (non-Medicare) | TN | 7120405 | Aetna |
| MEDICAID | TN | Q007919 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207N00000X – Dermatology | TN | 36383 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1316905862
Lee B Dittrich MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1316905862. The primary specialty listed is Dermatology. The provider is located in Knoxville, TN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-05-03. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1316905862?
NPI 1316905862 belongs to Lee B Dittrich MD, a Dermatology in Knoxville, TN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1316905862 active?
The current status of NPI 1316905862 in the NPPES registry is Active. The record was last updated on 2026-04-02.
What specialty is NPI 1316905862?
NPI 1316905862 is classified under the taxonomy Dermatology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1316905862?
You can verify NPI 1316905862 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1316905862?
The primary practice address on file for NPI 1316905862 is 123 Fox Rd, Knoxville, TN 37922-3369. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1316905862 issued?
NPI 1316905862 was first issued (enumerated) on 2006-05-03. The NPPES record was last updated on 2026-04-02.
Practice Location Map
Lee B Dittrich is located at 123 Fox Rd, Knoxville, TN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Lee B Dittrich. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1316905862. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dermatology | 36383 | TN |