Individual provider Active NPI

Mariam Habib

  • General Practice Dentistry
  • Springfield, TN
National Provider Identifier
1144788977
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11124 Issued in TN
Practice address
101E Mooreland Dr Ste E
Springfield, TN 37172-3946
Phone
(615) 384-8441
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 11124 TN Primary

Addresses

Primary practice location

101E Mooreland Dr Ste E
Springfield, TN 37172-3946

Mailing address

101E Mooreland Dr Ste E
Springfield, TN 37172-3946
Phone (615) 384-8441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
11124TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Smile Dental PLLC General Practice CurrentSince Oct 8, 2023 Accepting new patients
Tennessee Dental Professionals, PC General Practice PastSince Sep 1, 2022 Accepting new patients

Locations

101 Mooreland Dr
Ste E
Springfield, TN 37172
Phone (615) 382-2615

2701 Memorial Blvd
Springfield, TN 37172
Phone (615) 384-2099

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": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1144788977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101E MOORELAND DR STE E",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723946",
            "telephone_number": "615-384-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101E MOORELAND DR STE E",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371723946",
            "telephone_number": "615-384-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HABIB",
        "first_name": "MARIAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "11124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.