Individual provider Active NPI

Micheal Tate Eble, DDS

  • General Practice Dentistry
  • Franklin, TN
National Provider Identifier
1003078486
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8862 Issued in TN
Practice address
128 Holiday CT
Suite 117
Franklin, TN 37067-3061
Phone
(615) 794-8977
Fax
(615) 794-8945
NPI assigned
Jun 27, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8862 TN Primary

Addresses

Primary practice location

128 Holiday CT
Suite 117
Franklin, TN 37067-3061

Mailing address

128 Holiday CT
Suite 117
Franklin, TN 37067-3061
Phone (615) 794-8977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
8862TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Creek Dental Group, PLLC PastSince Apr 14, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1003078486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 HOLIDAY CT",
            "address_2": "SUITE 117",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673061",
            "telephone_number": "615-794-8977",
            "fax_number": "615-794-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 HOLIDAY CT",
            "address_2": "SUITE 117",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370673061",
            "telephone_number": "615-794-8977",
            "fax_number": "615-794-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBLE",
        "first_name": "MICHEAL",
        "middle_name": "TATE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-27",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.