NPIMap

Organization Active NPI

Fairview Dental Associates, P.C.

  • General Practice Dentistry
  • Fairview, TN
National Provider Identifier
1174757702
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS6982 Issued in TN
Legal business name
FAIRVIEW DENTAL ASSOCIATES, P.C.
Practice address
1696 Fairview Blvd Ste 104
Fairview, TN 37062-5144
Phone
(615) 799-9234
Fax
(615) 799-9626
NPI assigned
May 11, 2009
Last updated
May 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Authorized official

Name
Dr. Michael W Edge, D.D.S.
Title
President
Phone
(615) 799-9234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS6982 TN Primary

Addresses

Primary practice location

1696 Fairview Blvd Ste 104
Fairview, TN 37062-5144

Mailing address

PO Box 306067
Nashville, TN 37230-6067
Phone (615) 370-4605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242000000000",
    "number": "1174757702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306067",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306067",
            "telephone_number": "615-370-4605",
            "fax_number": "615-370-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 FAIRVIEW BLVD STE 104",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370625144",
            "telephone_number": "615-799-9234",
            "fax_number": "615-799-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRVIEW DENTAL ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-11",
        "last_updated": "2009-05-11",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-799-9234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS6982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.