Joshua Aaron Brink Sr., DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

7878 Issued in TN

Practice address

6565 Stage Rd Ste 2
Bartlett, TN 38134-3830

Phone

(901) 382-0280

Fax

(901) 791-0955

NPI assigned

Oct 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Brink & White Pediatric Dental Associates, PLLC

  • Pediatric Dentistry
  • Bartlett, TN
  • NPI 1629262399
  NPD (past) Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577318400000",
    "number": "1033290929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343830",
            "telephone_number": "901-382-0280",
            "fax_number": "901-791-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 STAGE RD STE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343830",
            "telephone_number": "901-382-0280",
            "fax_number": "901-791-0955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "843 Tipton Rd, Ste D",
            "address_purpose": "LOCATION",
            "city": "Munford",
            "state": "TN",
            "postal_code": "38058",
            "country_code": "US",
            "telephone_number": "901-382-0280",
            "fax_number": "901-791-0955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2961 Canada Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "TN",
            "postal_code": "380024893",
            "country_code": "US",
            "telephone_number": "901-382-0280",
            "fax_number": "901-791-0955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRINK",
        "first_name": "JOSHUA",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2019-12-26",
        "certification_date": "2019-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "7878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1491320",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013469",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4063221",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177551",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MASS",
            "identifier": "2DK874",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5440215",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013491",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen D Brandenburg, D.C.
• Brenda Graceful Living LLC
• Antwanae Briars, MA
• Stacey Briggs
• Brink & White Pediatric Dental Associates, PLLC
• Teneka Renea Brodnax
• Cathy Elaine Brown
• Cynthia S Brown
• Kimberly Michelle Brown, MD
• Lawrence Martinez Brown

• Pediatric Dentistry in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.