Organization Active NPI

Dr. D's Family Dentistry, LLC

  • Dentist
  • Bartlett, TN
National Provider Identifier
1134542756
Registry record updated Feb 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9305 Issued in TN
Legal business name
DR. D'S FAMILY DENTISTRY, LLC
Practice address
6425 Stage Rd
Ste 4
Bartlett, TN 38134-3731
Phone
(901) 249-8932
NPI assigned
Feb 3, 2014
Last updated
Feb 3, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2014

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

Authorized official

Name
Dr. Daniel Dunavant, DDS
Title
Owner
Phone
(901) 249-8932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9305 TN Primary

Addresses

Primary practice location

6425 Stage Rd
Ste 4
Bartlett, TN 38134-3731

Mailing address

6425 Stage Rd
Ste 4
Bartlett, TN 38134-3731
Phone (901) 249-8932

Other identifiers 1

IdentifierTypeStateIssuer
1295022341OtherTNNPI TYPE 1

National Provider Directory

National Provider Directory

Locations

6425 Stage Rd
Ste 4
Bartlett, TN 38134
Phone (901) 249-8932

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": "1391385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391385600000",
    "number": "1134542756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6425 STAGE RD",
            "address_2": "STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343731",
            "telephone_number": "901-249-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6425 STAGE RD",
            "address_2": "STE 4",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343731",
            "telephone_number": "901-249-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. D'S FAMILY DENTISTRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-03",
        "last_updated": "2014-02-03",
        "status": "A",
        "authorized_official_last_name": "DUNAVANT",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-249-8932",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1295022341",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; 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.