NPIMap

Organization Active NPI

Oral Surgical Institute, P.C.

Doing business as Oral Surgical Institute- Nashville

  • Oral and Maxillofacial Surgery (Dentist)
  • Nashville, TN
National Provider Identifier
1144298050
Registry record updated Apr 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
ORAL SURGICAL INSTITUTE, P.C.
Doing business as
Oral Surgical Institute- Nashville
Practice address
500 28TH Ave N Ste 100
Nashville, TN 37209-4298
Phone
(615) 329-4401
Fax
(615) 321-6175
NPI assigned
Mar 8, 2006
Last updated
Apr 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2023

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

Authorized official

Name
Brenda Newell
Title
Administrator
Phone
(615) 340-8510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X Primary

Addresses

Primary practice location

500 28TH Ave N Ste 100
Nashville, TN 37209-4298

Mailing address

500 28TH Ave N Ste 100
Nashville, TN 37209-4298
Phone (615) 329-4401

Other identifiers 1

IdentifierTypeStateIssuer
3707384MedicaidTN

Other names 1

  • Oral Surgical Institute- Nashville Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040616000881 TN Part B Supplier - Clinic/Group Practice 5092799031 Receives reassigned benefits from 10 practitioners
Practice locations: Franklin, TN; Nashville, TN
O20051011001179 TN Part B Supplier - Clinic/Group Practice 5092799031 Receives reassigned benefits from 1 practitioner
Practice locations: Nashville, TN

National Provider Directory

National Provider Directory
Tax ID family
Oral Surgical Institute PC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

125 Cool Springs Blvd
Ste 120
Franklin, TN 37067
Phone (615) 778-0902

300 20th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 329-4401

324 22nd Ave N
Nashville, TN 37203
Phone (615) 329-4401

500 28th Ave N
Ste 100
Nashville, TN 37209
Phone (615) 329-4401

Ownership & related parties

Subparts reporting this organization as parent 3

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682640000000",
    "number": "1144298050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 28TH AVE N STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094298",
            "telephone_number": "615-329-4401",
            "fax_number": "615-321-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 28TH AVE N STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372094298",
            "telephone_number": "615-329-4401",
            "fax_number": "615-321-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORAL SURGICAL INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A",
        "authorized_official_last_name": "NEWELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "615-340-8510"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3707384",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oral Surgical Institute- Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.