Bluegrass Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8528 Issued in TN

Legal business name

BLUEGRASS DENTAL, PLLC

Practice address

1302 Dow St
Murfreesboro, TN 37130-2414

Phone

(615) 896-4860

NPI assigned

Oct 4, 2017

Last updated

Oct 4, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shaun Michael Bivens, DMD

Title

Owner

Phone

(615) 974-2956

Specialties & licenses 1

Addresses

Locations

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.

• Taylor Justice King, D.D.S

  • Dentist
  • Old Hickory, TN
  • NPI 1255693891
  NPD (past)
• Todd Matthew Martin, DMD

  • Dentist
  • Murfreesboro, TN
  • NPI 1336664341
  NPD (past)
• Brian Francis Riel, D.D.S.

  • General Practice Dentistry
  • Murfreesboro, TN
  • NPI 1346362159
  NPD (past)

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507075200000",
    "number": "1194235176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GEORGETOWN DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052622",
            "telephone_number": "615-974-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 DOW ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302414",
            "telephone_number": "615-896-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEGRASS DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A",
        "authorized_official_last_name": "BIVENS",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-974-2956",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Bloodgood, PSY.D.
• Linda Capps Bloodworth, PT
• Bloom Care Partners LLC
• Darci D Bloss, LPC, LCPC, LPC-MHSP,
• Mackensie N/a Blu, MFT
• Pyke Bobo, CRNA
• Elise Howorth Bobrowski, FNP-C
• Susan Virginia Bock, MT-BC
• Alyssa Raine Bogle-Smith
• Faith Bogle, FNP-C

• General Practice Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2017; 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.