Organization Active NPI

Orthodontists of Middle TN

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Springfield, TN
National Provider Identifier
1164082871
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
ORTHODONTISTS OF MIDDLE TN
Practice address
3130 Tom Austin Hwy Ste D
Springfield, TN 37172-4519
Phone
(615) 384-2484
NPI assigned
Jun 14, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Dr. Candice Coleman, DDS, MDSNPI 1164823035
Title
Dr/ Orthodontist
Phone
(901) 361-4116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

3130 Tom Austin Hwy Ste D
Springfield, TN 37172-4519

Mailing address

3130 Tom Austin Hwy Ste D
Springfield, TN 37172-4519
Phone (615) 384-2484

Other names 1

  • About Faces and Braces Doing business as

National Provider Directory

National Provider Directory

Locations

3130 Tom Austin Hwy
Ste D
Springfield, TN 37172
Phone (615) 384-2484

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1164082871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 TOM AUSTIN HWY STE D",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371724519",
            "telephone_number": "615-384-2484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 TOM AUSTIN HWY STE D",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371724519",
            "telephone_number": "615-384-2484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHODONTISTS OF MIDDLE TN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "DR/ ORTHODONTIST",
        "authorized_official_telephone_number": "901-361-4116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "About Faces and Braces",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 14, 2019; 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.