Organization Active NPI

TN Dental Professionals II PC

  • Dentist
  • Nashville, TN
National Provider Identifier
1013577469
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TN DENTAL PROFESSIONALS II PC
Practice address
1214 Gallatin Ave Ste 115
Nashville, TN 37206-3270
Phone
(615) 620-5990
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Katie Workman
Title
Analyst, Revenue Cycle Management
Phone
(440) 241-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1214 Gallatin Ave Ste 115
Nashville, TN 37206-3270

Mailing address

PO Box 306082
Nashville, TN 37230-6082

Other names 1

  • East Nashville Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
East Hamilton Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1013577469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306082",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 GALLATIN AVE STE 115",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372063270",
            "telephone_number": "615-620-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN DENTAL PROFESSIONALS II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "ANALYST, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "440-241-1931"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Nashville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.