Dana Julie Starck, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

10245 Issued in TN

Practice address

8112 Isabella LN Ste 101
Brentwood, TN 37027-9102

Phone

(615) 778-0810

NPI assigned

Nov 22, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• CD Tennessee Dental, P.C.

  • Dentist
  • Brentwood, TN
  • NPI 1962978742
  NPD (past)
• Sandberg Modern Dental LLC

  • General Practice Dentistry
  • Wauwatosa, WI
  • NPI 1285029652
  NPD (past)

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1235732165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8112 ISABELLA LN STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370279102",
            "telephone_number": "615-778-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8112 ISABELLA LN STE 101",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370279102",
            "telephone_number": "615-778-0810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARCK",
        "first_name": "DANA",
        "middle_name": "JULIE",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-22",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "WI",
            "license": "1003621",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TN",
            "license": "10245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RDH LICENSE",
            "identifier": "1003621",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen M Staggs, M.D.
• Morgan May Stam
• Katherine Ann Stankevich, LMT
• Amber Faith Stanley
• Natallia Staravoitava, FNP-C
• Zachary Starinchuck
• Diane Jean Stark, MSSW LCSW
• Starling Orthodontics, PLLC
• Craig Michael Starling, DDS
• Kaitlyn Stasiak, CNIM

• Dental Hygienist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Dental Hygienist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.