Brentwood Pediatric Dentistry Maryland Farms, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

BRENTWOOD PEDIATRIC DENTISTRY MARYLAND FARMS, PLLC

Practice address

5109 Peter Taylor Park Dr Ste 100
Brentwood, TN 37027-7672

Phone

(615) 373-4047

NPI assigned

Sep 4, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Cregger, DDS, MS

Title

Owner

Phone

(615) 377-3080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1225686157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SEABOARD LN STE 102",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370273037",
            "telephone_number": "615-377-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5109 PETER TAYLOR PARK DR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277672",
            "telephone_number": "615-373-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD PEDIATRIC DENTISTRY MARYLAND FARMS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "CREGGER",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-377-3080",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brentwood Endodontics LLC
• Brentwood Family Dentists
• Brentwood MD LLC
• Brentwood Neurology
• Brentwood Pediatric Care PLLC
• Brentwood Pediatric Dentistry, LLC
• Brentwood Pediatrics PLLC
• Brentwood Pelvic Health
• Brentwood Primary Care
• Brentwood Professional Group Inc.

• Pediatric Dentistry in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.