Joseph a. Otterpohl, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3687 Issued in KY

Legal business name

JOSEPH A. OTTERPOHL, DMD

Practice address

5505 Edmondson Pike
Suite 201
Nashville, TN 37211-5872

Phone

(615) 331-0402

Fax

(615) 832-5410

NPI assigned

Aug 15, 2012

Organization subpart

Yes

Parent organization

JOSEPH OTTERPOHL, DMD/AMY OTTERPOHL CONNOR DDSAs reported in NPPES

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

Authorized official

Name

Dr. Joseph A. Otterpohl, DMD

Title

Owner

Phone

(615) 331-0402

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Otterpohl Dental Other name

Part of

Joseph a Otterpohl DMD

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1043568595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 EDMONDSON PIKE",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115872",
            "telephone_number": "615-331-0402",
            "fax_number": "615-832-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 EDMONDSON PIKE",
            "address_2": "SUITE 201",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372115872",
            "telephone_number": "615-331-0402",
            "fax_number": "615-832-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH A. OTTERPOHL, DMD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH OTTERPOHL, DMD/AMY OTTERPOHL CONNOR DDS",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "OTTERPOHL",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-331-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "DS3687",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS9497",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619232881",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1881789568",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Otterpohl Dental",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mette Weiss Jorgensen, OTR/L
• Rebecca Lynn Jorgensen
• Maryann Jorissen, ACNP-BC
• Alisa Jorstad
• Beryl Jose
• Joseph B Delozier III MD PLLC
• Jessica Joseph-Alexis, DO
• Asha Joseph, MD
• Brenda Kathleen Joseph I
• Connor Joseph

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.