Active NPI
Ronald Peter Lubovich, D.D.S., M.S.D.
- Prosthodontics
- Nashville, TN
National Provider Identifier
1154415388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- DS0000001976
- Practice address
- 2828 Bransford Ave
Nashville, TN 37204-3102 - Phone
- (615) 297-5577
- Fax
- (615) 292-1319
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | DS0000001976 | TN | Primary |
Addresses
Primary practice location
2828 Bransford Ave
Nashville, TN 37204-3102
Mailing address
2828 Bransford Ave
Nashville, TN 37204-3102
Phone (615) 297-5577
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000001976 | TN | MD | Prosthodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1154415388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 BRANSFORD AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372043102",
"telephone_number": "615-297-5577",
"fax_number": "615-292-1319"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 BRANSFORD AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372043102",
"telephone_number": "615-297-5577",
"fax_number": "615-292-1319"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBOVICH",
"first_name": "RONALD",
"middle_name": "PETER",
"credential": "D.D.S., M.S.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TN",
"license": "DS0000001976",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.