Organization Active NPI

Oakland Family Dentistry

  • General Practice Dentistry
  • Oakland, TN
National Provider Identifier
1003060641
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS7039 Issued in TN
Legal business name
OAKLAND FAMILY DENTISTRY
Practice address
7033 Highway 64
Oakland, TN 38060-3209
Phone
(901) 465-4655
Fax
(901) 465-4658
NPI assigned
Nov 10, 2008
Last updated
Nov 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lee T Myers, DDS
Title
Owner
Phone
(901) 465-4655

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS7039 TN Primary

Addresses

Primary practice location

7033 Highway 64
Oakland, TN 38060-3209

Mailing address

7033 Highway 64
Oakland, TN 38060-3209
Phone (901) 465-4655

National Provider Directory

National Provider Directory

Locations

7033 Highway 64
Oakland, TN 38060
Phone (901) 465-4655

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1003060641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7033 HIGHWAY 64",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380603209",
            "telephone_number": "901-465-4655",
            "fax_number": "901-465-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7033 HIGHWAY 64",
            "city": "OAKLAND",
            "state": "TN",
            "postal_code": "380603209",
            "telephone_number": "901-465-4655",
            "fax_number": "901-465-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-10",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-465-4655",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS7039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.