Active NPI
Brittany Pidgeon, DMD
- General Practice Dentistry
- Clarksville, TN
National Provider Identifier
1104347608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10705
- Practice address
- 2702 Wilma Rudolph Blvd
Clarksville, TN 37040 - Phone
- (931) 233-8013
- NPI assigned
- Jul 5, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10705 | TN | Primary |
Addresses
Primary practice location
2702 Wilma Rudolph Blvd
Clarksville, TN 37040
Mailing address
1268 Golden Eagle Way
Clarksville, TN 37040-1416
Phone (270) 791-1084
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 |
|---|---|---|---|
| 10705 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531094400000",
"number": "1104347608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1268 GOLDEN EAGLE WAY",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370401416",
"telephone_number": "270-791-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2702 WILMA RUDOLPH BLVD",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "37040",
"telephone_number": "931-233-8013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIDGEON",
"first_name": "BRITTANY",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-05",
"last_updated": "2018-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10705",
"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 Jul 9, 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.