Individual provider Active NPI

Angela Maria Ross, D.D.S.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1124004098
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS000007201 Issued in TN
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

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410001696 TN Practitioner - Dentist 9436490927 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS000007201TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew Walker Comprehensive Health Center, Inc CurrentSince Mar 30, 2019 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

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.