Tennessee Family Dental Bellevue PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

TENNESSEE FAMILY DENTAL BELLEVUE PC

Practice address

917 Harpeth Valley PL
Nashville, TN 37221-1141

Phone

(615) 646-5151

Fax

(616) 469-1036

NPI assigned

Jun 1, 2021

Last updated

Jun 1, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Martinez

Title

Billing Manager

Phone

(269) 388-5832

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1622505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622505600000",
    "number": "1104492008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W MAIN ST STE 102",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490063726",
            "telephone_number": "269-388-5832",
            "fax_number": "616-469-1036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 HARPETH VALLEY PL",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372211141",
            "telephone_number": "615-646-5151",
            "fax_number": "616-469-1036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE FAMILY DENTAL BELLEVUE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-01",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "269-388-5832"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tennessee Department of Correction Central Pharmacy
• Tennessee Department of Human Services
• Tennessee Em-I Medical Servcies, PC
• Tennessee Em-I Medical Services PC
• Tennessee Em-I Medical Services PC
• Tennessee Family Dental Care - Germantown PC (Germantown Dental)
• Tennessee Family Dental Care- Midtown PLLC
• Tennessee Foot & Ankle Specialists PC
• Tennessee Grace Care Incorporated
• Tennessee HB Medical Services PC

• Dental Clinic/Center in Nashville, TN
• Providers in Nashville, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.