Active NPI
Brittany Sloan Vincent, D.D.S.
- General Practice Dentistry
- Lewisburg, TN
National Provider Identifier
1225446362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10258
- Practice address
- 1360 S Ellington Pkwy
Lewisburg, TN 37091-4324 - Phone
- (931) 359-1993
- NPI assigned
- Jul 31, 2014
- Last updated
- Sep 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 10258 | TN | |
| Dentist | 122300000X | LD00104 | RI | |
| General Practice Dentistry | 1223G0001X | 10258 | TN | Primary |
Addresses
Primary practice location
1360 S Ellington Pkwy
Lewisburg, TN 37091-4324
Mailing address
1360 S Ellington Pkwy
Lewisburg, TN 37091-4324
Phone (931) 359-1993
Other names 1
- Brittany Desiree' Sloan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD00104 | RI | MD | Dentist |
| 10258 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Practice Group of Tennessee, PLLC | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Children's Dentistry of Red Bank
- Dentist
- Memphis, TN
- NPI 1497058788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537228800000",
"number": "1225446362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 S ELLINGTON PKWY",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370914324",
"telephone_number": "931-359-1993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1360 S ELLINGTON PKWY",
"city": "LEWISBURG",
"state": "TN",
"postal_code": "370914324",
"telephone_number": "931-359-1993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VINCENT",
"first_name": "BRITTANY",
"middle_name": "SLOAN",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-31",
"last_updated": "2018-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10258",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "RI",
"license": "LD00104",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10258",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRITTANY",
"last_name": "SLOAN",
"middle_name": "DESIREE'",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lewisburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.