Organization Active NPI

Family Dentistry, P.C.

  • General Practice Dentistry
  • Cordova, TN
National Provider Identifier
1275659476
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
FAMILY DENTISTRY, P.C.
Practice address
8135 Walnut Grove Rd
Suite 4
Cordova, TN 38018-4240
Phone
(901) 755-3626
Fax
(901) 755-7870
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. H Cannon Doan, D.D.S.NPI 1376669549
Title
Owner
Phone
(901) 755-3626

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

8135 Walnut Grove Rd
Suite 4
Cordova, TN 38018-4240

Mailing address

8135 Walnut Grove Rd
Suite 4
Cordova, TN 38018-4240
Phone (901) 755-3626

National Provider Directory

National Provider Directory

Locations

8135 Walnut Grove Rd
Ste 4
Cordova, TN 38018
Phone (901) 755-3626

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275659476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 WALNUT GROVE RD",
            "address_2": "SUITE 4",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184240",
            "telephone_number": "901-755-3626",
            "fax_number": "901-755-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8135 WALNUT GROVE RD",
            "address_2": "SUITE 4",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380184240",
            "telephone_number": "901-755-3626",
            "fax_number": "901-755-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTISTRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOAN",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "CANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-755-3626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.