Organization Active NPI

Sullivan Family Dentistry, PLLC

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1053893024
Registry record updated Oct 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10515 Issued in TN
Legal business name
SULLIVAN FAMILY DENTISTRY, PLLC
Practice address
2000 Richard Jones Rd Ste 107
Nashville, TN 37215-2885
Phone
(615) 298-1651
Fax
(615) 298-1129
NPI assigned
Sep 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2018

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

Authorized official

Name
Hunter C. Fleenor, DDSNPI 1821527813
Title
Dentist
Phone
(615) 298-1651

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 10515 TN Primary

Addresses

Primary practice location

2000 Richard Jones Rd Ste 107
Nashville, TN 37215-2885

Mailing address

2000 Richard Jones Rd Ste 107
Nashville, TN 37215-2885
Phone (615) 298-1651

National Provider Directory

National Provider Directory

Locations

2000 Richard Jones Rd
Ste 107
Nashville, TN 37215
Phone (615) 298-1651

Practitioners & affiliated clinicians

Practitioners 3

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": "1536105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538524800000",
    "number": "1053893024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RICHARD JONES RD STE 107",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152885",
            "telephone_number": "615-298-1651",
            "fax_number": "615-298-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RICHARD JONES RD STE 107",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152885",
            "telephone_number": "615-298-1651",
            "fax_number": "615-298-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SULLIVAN FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-10-03",
        "status": "A",
        "authorized_official_last_name": "FLEENOR",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-298-1651",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 3, 2018; 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.