Organization Active NPI

Campbell Station Dentistry Inc

  • General Practice Dentistry
  • Spring Hill, TN
National Provider Identifier
1194873307
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TNDS7323 Issued in TN
Legal business name
CAMPBELL STATION DENTISTRY INC
Practice address
4910 Columbia Pike
Suite 106
Spring Hill, TN 37174-4200
Phone
(615) 302-3444
Fax
(615) 302-3445
NPI assigned
Jan 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Marie Strain Newberry, DDS
Title
President
Phone
(615) 302-3444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X TNDS7323 TN Primary

Addresses

Primary practice location

4910 Columbia Pike
Suite 106
Spring Hill, TN 37174-4200

Mailing address

4910 Columbia Pike
Suite 106
Spring Hill, TN 37174-4200
Phone (615) 302-3444

National Provider Directory

National Provider Directory

Locations

4910 Main St
Ste 106
Spring Hill, TN 37174
Phone (615) 302-3444

Practitioners & affiliated clinicians

Practitioners 2

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": "1168128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194873307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 COLUMBIA PIKE",
            "address_2": "SUITE 106",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371744200",
            "telephone_number": "615-302-3444",
            "fax_number": "615-302-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 COLUMBIA PIKE",
            "address_2": "SUITE 106",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371744200",
            "telephone_number": "615-302-3444",
            "fax_number": "615-302-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL STATION DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEWBERRY",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "STRAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-302-3444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "TNDS7323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.