Organization Active NPI

Bellott & Parrish Dentistry

Doing business as Audubon Dental Group

  • General Practice Dentistry
  • Germantown, TN
National Provider Identifier
1124398805
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3021 Issued in TN
Legal business name
BELLOTT & PARRISH DENTISTRY
Doing business as
Audubon Dental Group
Practice address
2059 S Houston Levee Rd
Suite 126
Germantown, TN 38139-6970
Phone
(901) 853-9800
NPI assigned
Jan 11, 2012
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Dr. Robert Leon Parrish Jr., DDS
Title
Dentist/Business Owener
Phone
(901) 853-9800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3021 TN Primary

Addresses

Primary practice location

2059 S Houston Levee Rd
Suite 126
Germantown, TN 38139-6970

Mailing address

2059 S Houston Levee Rd
Suite 126
Germantown, TN 38139-6970
Phone (901) 853-9800

Other names 1

  • Audubon Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

2059 S Houston Levee Rd
Ste 126
Germantown, TN 38139
Phone (901) 425-0444

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1124398805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 S HOUSTON LEVEE RD",
            "address_2": "SUITE 126",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396970",
            "telephone_number": "901-853-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 S HOUSTON LEVEE RD",
            "address_2": "SUITE 126",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381396970",
            "telephone_number": "901-853-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLOTT & PARRISH DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEON",
        "authorized_official_title_or_position": "DENTIST/BUSINESS OWENER",
        "authorized_official_telephone_number": "901-853-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audubon Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; 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.