Active NPI
Stephen Benjamin Peterman, D.D.S.
- Prosthodontics
- Brentwood, TN
National Provider Identifier
1104131572
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 12700
- Practice address
- 1177 Old Hickory Blvd Ste 102
Brentwood, TN 37027-4242 - Phone
- (615) 690-5400
- NPI assigned
- Aug 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 12700 | TN | Primary |
| Dentist | 122300000X | 6902 | NE | |
| Dentist | 122300000X | 12700 | TN |
Addresses
Primary practice location
1177 Old Hickory Blvd Ste 102
Brentwood, TN 37027-4242
Mailing address
1177 Old Hickory Blvd Ste 102
Brentwood, TN 37027-4242
Phone (615) 690-5400
Other practice location 1
2940 Stanley Rd Ste 2375
Fort Sam Houston, TX 78234-2740
Phone (210) 295-4156
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6902 | NE | MD | Cardiovascular Disease Physician |
| 12700 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tennessee Sleep Apnea Solutions, PLLC | Past | Accepting new patients | |
| Middle Tennessee Prosthodontics, LLC | Prosthodontics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Prosthodontics
- Brentwood, TN
- NPI 1326832429
-
- Dental Clinic/Center
- Brentwood, TN
- NPI 1902636855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771632000000",
"number": "1104131572",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1177 OLD HICKORY BLVD STE 102",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274242",
"telephone_number": "615-690-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1177 OLD HICKORY BLVD STE 102",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274242",
"telephone_number": "615-690-5400"
}
],
"practiceLocations": [
{
"address_1": "2940 Stanley Rd Ste 2375",
"address_purpose": "LOCATION",
"city": "Fort Sam Houston",
"state": "TX",
"postal_code": "782342740",
"country_code": "US",
"telephone_number": "210-295-4156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PETERMAN",
"first_name": "STEPHEN",
"middle_name": "BENJAMIN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-08-10",
"last_updated": "2026-02-21",
"certification_date": "2026-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TN",
"license": "12700",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NE",
"license": "6902",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.