Organization Active NPI

Berry Hill Dental Group, PC

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1053904219
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
BERRY HILL DENTAL GROUP, PC
Practice address
2641 8TH Avenue South
Nashville, TN 37204
Phone
(615) 784-5104
Fax
(615) 800-6697
NPI assigned
Feb 18, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Dr. Matthew Lott, DDS
Title
DDS/Owner
Phone
(615) 784-5104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2641 8TH Avenue South
Nashville, TN 37204

Mailing address

PO Box 920050
Dallas, TX 75392-0050
Phone (714) 845-8500

Other names 1

  • Berry Hill Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2641 8th Ave S
Nashville, TN 37204
Phone (615) 784-5104

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": "1613606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1053904219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 8TH AVENUE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37204",
            "telephone_number": "615-784-5104",
            "fax_number": "615-800-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERRY HILL DENTAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "LOTT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DDS/OWNER",
        "authorized_official_telephone_number": "615-784-5104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berry Hill Dental Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berry Hill Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 9, 2022; 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.