NPIMap

Organization Active NPI

TW New Dentistry, PLLC

Doing business as Stones River Dental

  • Dental Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1164134599
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
TW NEW DENTISTRY, PLLC
Doing business as
Stones River Dental
Practice address
1630 NW Broad St Ste 101
Murfreesboro, TN 37129-4435
Phone
(615) 896-0608
NPI assigned
Dec 16, 2022
Last updated
Dec 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
TW NEW DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Will Pack
Title
Controller
Phone
(931) 247-8102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1630 NW Broad St Ste 101
Murfreesboro, TN 37129-4435

Mailing address

1630 NW Broad St Ste 101
Murfreesboro, TN 37129-4435

Other names 1

  • Stones River Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tailwater Practice Partners11 organizations share this tax ID, including this one
Part of
Tailwater Practice Partners

Other organizations with this tax ID 10

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

Locations

1630 NW Broad St
Ste 101
Murfreesboro, TN 37129
Phone (615) 896-0608

Practitioners & affiliated clinicians

Practitioners 3

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": "1671148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1164134599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 NW BROAD ST STE 101",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 NW BROAD ST STE 101",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294435",
            "telephone_number": "615-896-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TW NEW DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TW NEW DENTISTRY, PLLC",
        "enumeration_date": "2022-12-16",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "931-247-8102"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stones River Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.