Brian Wah

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

10044 Issued in TN

Practice address

130 Seaboard LN Ste 1
Franklin, TN 37067

Phone

(615) 905-8920

NPI assigned

Mar 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Nashville Pediatric Dentistry

  • Pediatric Dentistry
  • Franklin, TN
  • NPI 1831711415
  NPD Authorized official

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1043552722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 SEABOARD LN STE 1",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678227",
            "telephone_number": "615-905-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 SEABOARD LN STE 1",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-905-8920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Stansberry Ln # 105",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370695125",
            "country_code": "US",
            "telephone_number": "615-905-8920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAH",
        "first_name": "BRIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "10044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan P Vold, MPT
• Vue Optique PLLC
• Kaitlyn Ann Wade, M.S., CCC-SLP
• Heather Waggener, LCSW
• Eveleigh Wagner, M.D.
• Benjamin J Wahlman, PT
• Nisha Waits, D.M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Carly Walcutt, MS CF-SLP

• All providers in Franklin, TN
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.