NPIMap

Organization Active NPI

Richland Creek Dental Group, PLLC

Doing business as Stonetrace Family Dental

  • Dental Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1215654850
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHLAND CREEK DENTAL GROUP, PLLC
Doing business as
Stonetrace Family Dental
Practice address
2441 Old Fort Pkwy Ste L
Murfreesboro, TN 37128-4162
Phone
(615) 962-9357
NPI assigned
Oct 25, 2022
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Christina Sandoval
Title
Director of Operations
Phone
(505) 604-4986

Specialties & licenses 1

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

Addresses

Primary practice location

2441 Old Fort Pkwy Ste L
Murfreesboro, TN 37128-4162

Mailing address

2441 Old Fort Pkwy Ste L
Murfreesboro, TN 37128-4162
Phone (615) 962-9357

Other names 1

  • Stonetrace Family Dental Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@stonetracefamilydental.com

National Provider Directory

National Provider Directory
Tax ID family
Richland Creek Dental Group PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1215654850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 OLD FORT PKWY STE L",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284162",
            "telephone_number": "615-962-9357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 OLD FORT PKWY STE L",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284162",
            "telephone_number": "615-962-9357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND CREEK DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-25",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "505-604-4986"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@stonetracefamilydental.com",
            "affiliation": "N",
            "address_1": "2441 Old Fort Pkwy Ste L",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371284162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stonetrace Family 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 Oct 25, 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.