Active NPI
Angela Maria Ross, D.D.S.
- General Practice Dentistry
- Nashville, TN
National Provider Identifier
1124004098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS000007201
- Practice address
- 710 Hart LN
Nashville, TN 37216-2627 - Phone
- (615) 650-7060
- Fax
- (615) 262-6139
- NPI assigned
- Dec 21, 2005
- 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 | DS000007201 | TN | Primary |
Addresses
Primary practice location
710 Hart LN
Nashville, TN 37216-2627
Mailing address
173 Brian Cir
Antioch, TN 37013-4342
Phone (615) 834-2611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS000007201 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Matthew Walker Comprehensive Health Center, Inc | Current | Accepting new patients | |
| Matthew Walker Comprehensive Health Center, Inc | Current | Accepting new patients |
Locations
230 Dover Rd
Clarksville, TN 37042
Phone (931) 648-1900
230 Dover Rd
Ste C
Clarksville, TN 37042
Phone (931) 920-5000
1035 14th Ave N
Nashville, TN 37208
Phone (615) 327-9400
739 President Pl
Ste 100
Smyrna, TN 37167
Phone (615) 355-4720
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- angela.rossdds.p1@direct.mwchc.nextgenshare.com
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.
-
- Federally Qualified Health Center (FQHC)
- Nashville, TN
- NPI 1356405278
-
- Federally Qualified Health Center (FQHC)
- Clarksville, TN
- NPI 1104008747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1124004098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 BRIAN CIR",
"city": "ANTIOCH",
"state": "TN",
"postal_code": "370134342",
"telephone_number": "615-834-2611",
"fax_number": "615-837-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "710 HART LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372162627",
"telephone_number": "615-650-7060",
"fax_number": "615-262-6139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSS",
"first_name": "ANGELA",
"middle_name": "MARIA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-21",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS000007201",
"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 Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.