Individual provider Active NPI

Brian Daniel Fann, DDS

  • General Practice Dentistry
  • Columbia, TN
National Provider Identifier
1255414140
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
0000007881 Issued in TN
Practice address
1605 Nashville Hwy
Suite 100
Columbia, TN 38401-2071
Phone
(931) 381-6880
Fax
(931) 381-3093
NPI assigned
Oct 23, 2006
Last updated
May 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0000007881 TN Primary

Addresses

Primary practice location

1605 Nashville Hwy
Suite 100
Columbia, TN 38401-2071

Mailing address

1605 Nashville Hwy
Suite 100
Columbia, TN 38401-2071
Phone (931) 381-6880

Other identifiers 1

IdentifierTypeStateIssuer
0016483MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150820012530 TN Practitioner - Oral Surgery 8527373497 Practice locations: Columbia, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0000007881TNMDGeneral Practice Dentistry
7881TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Art of Dentistry Past Accepting new patients
Brian Fann PLLC General Practice PastSince May 25, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1255414140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 NASHVILLE HWY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012071",
            "telephone_number": "931-381-6880",
            "fax_number": "931-381-3093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 NASHVILLE HWY",
            "address_2": "SUITE 100",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384012071",
            "telephone_number": "931-381-6880",
            "fax_number": "931-381-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANN",
        "first_name": "BRIAN",
        "middle_name": "DANIEL",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "0000007881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0016483",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

Verify at the official NPI Registry.