NPIMap

Organization Active NPI

Heritage Endodontics

  • Endodontics
  • Clarksville, TN
National Provider Identifier
1043699796
Registry record updated May 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9567 Issued in TN
Legal business name
HERITAGE ENDODONTICS
Practice address
2309 Rudolphtown Rd
Ste B
Clarksville, TN 37043-2228
Phone
(931) 259-4400
Fax
(931) 259-4401
NPI assigned
May 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2015

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

Authorized official

Name
Dr. Burton A Coleman, D.D.S.NPI 1306197884
Title
Owner/Endodontist
Phone
(931) 259-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 9567 TN Primary

Addresses

Primary practice location

2309 Rudolphtown Rd
Ste B
Clarksville, TN 37043-2228

Mailing address

2309 Rudolphtown Rd
Ste B
Clarksville, TN 37043-2228
Phone (931) 259-4400

National Provider Directory

National Provider Directory

Locations

2309 Rudolphtown Rd
Ste B
Clarksville, TN 37043
Phone (931) 259-4400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432771200000",
    "number": "1043699796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 RUDOLPHTOWN RD",
            "address_2": "STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432228",
            "telephone_number": "931-259-4400",
            "fax_number": "931-259-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 RUDOLPHTOWN RD",
            "address_2": "STE B",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432228",
            "telephone_number": "931-259-4400",
            "fax_number": "931-259-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-28",
        "last_updated": "2015-05-28",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "BURTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/ENDODONTIST",
        "authorized_official_telephone_number": "931-259-4400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "9567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2015; 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.