Active NPI
Mark Dentz, M.D.
- Anesthesiology Physician
- Nashville, TN
National Provider Identifier
1003811696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 27028
- Practice address
- 110 29TH Ave N
Ste 202
Nashville, TN 37203-1448 - Phone
- (615) 327-4304
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 27028 | TN | |
| Anesthesiology Physician | 207L00000X | 27028 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N
Ste 202
Nashville, TN 37203-1448
Mailing address
110 29TH Ave N
Ste 202
Nashville, TN 37203-1448
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3065032 | Other | TN | BCBS PROVIDER NUMBER |
| 3813113 | Medicaid | TN | |
| 7613690 | Medicaid | NC | |
| 64926249 | Medicaid | KY | |
| 009930405 | Medicaid | AL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1003811696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENTZ",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "27028",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "27028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "3065032",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3813113",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7613690",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64926249",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009930405",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
- Dentists of Bellevue, PC
- Brandon M. Denton, SA-C
- John David Denton
- Kacie Hoyle Denton, MD
- Skylar Denton
- Andrea Marie Depalma, PHARM.D.
- Deparment of Veterans Affairs
- Department of Disability and Aging, Tennessee Early Intervention System (Teis)
- Department of Intellectual and Developmental Disabilities
- Department of Intellectual and Developmental Disabilities, State of TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.