NPIMap

Organization Active NPI

Richland Creek Dental Group, PLLC

  • General Practice Dentistry
  • Dickson, TN
National Provider Identifier
1053971341
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RICHLAND CREEK DENTAL GROUP, PLLC
Practice address
102 Highway 70 E Ste 2
Dickson, TN 37055-7013
Phone
(154) 464-6446
NPI assigned
Jun 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Christina Sandoval
Title
Direct of Revenue Cycle
Phone
(615) 477-5815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

102 Highway 70 E Ste 2
Dickson, TN 37055-7013

Mailing address

3130 Evreux Dr
Murfreesboro, TN 37129-0206
Phone (505) 604-4986

Other names 1

  • East Hills Dental Center - Dickson Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christina.sandoval@mymsdg.com

National Provider Directory

National Provider Directory
Tax ID family
Richland Creek Dental Group PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

102 Highway 70 E
Ste 2
Dickson, TN 37055
Phone (615) 446-4644

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1053971341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 EVREUX DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290206",
            "telephone_number": "505-604-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 HIGHWAY 70 E STE 2",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370557013",
            "telephone_number": "154-464-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND CREEK DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECT OF REVENUE CYCLE",
        "authorized_official_telephone_number": "615-477-5815"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christina.sandoval@mymsdg.com",
            "affiliation": "N",
            "address_1": "102 Highway 70 E Ste 2",
            "city": "Dickson",
            "state": "TN",
            "country_code": "US",
            "postal_code": "370557013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "East Hills Dental Center - Dickson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.