Organization Active NPI

Tennessee Family Dental Bellevue PC

  • Dental Clinic/Center
  • Nashville, TN
National Provider Identifier
1104492008
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Jessica Martinez
Title
Billing Manager
Phone
(269) 388-5832

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

NPPES NPI Registry

Primary practice location

917 Harpeth Valley PL
Nashville, TN 37221-1141

Mailing address

4025 W Main St Ste 102
Kalamazoo, MI 49006-3726
Phone (269) 388-5832

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 1, 2021.

{
    "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": []
}

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 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.