NPIMap

Organization Active NPI

Germantown Dental Group

  • Dental Clinic/Center
  • Germantown, TN
National Provider Identifier
1003927310
Registry record updated Oct 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS2834 Issued in TN
Legal business name
GERMANTOWN DENTAL GROUP
Practice address
2165 West St
Germantown, TN 38138
Phone
(901) 754-0540
Fax
(901) 754-0621
NPI assigned
Aug 31, 2006
Last updated
Oct 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2007

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

Authorized official

Name
Mrs. Bethany Oliver Foster
Title
Office Manager
Phone
(901) 754-0540

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS2834 TN Primary
Dental Clinic/Center 261QD0000X DS7364 TN
Dental Clinic/Center 261QD0000X DS7426 TN
Dental Clinic/Center 261QD0000X DS3429 TN

Addresses

Primary practice location

2165 West St
Germantown, TN 38138

Mailing address

2165 West St
Germantown, TN 38138
Phone (901) 754-0540

Other names 1

  • Whittemore-Gruen, PLLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Germantown Dental Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1003927310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-754-0540",
            "fax_number": "901-754-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 WEST ST",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38138",
            "telephone_number": "901-754-0540",
            "fax_number": "901-754-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-754-0540",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS2834",
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS7364",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS7426",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS3429",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whittemore-Gruen, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.