Active NPI
Mary Anne Aubertin, DMD
- Dentist
- Memphis, TN
National Provider Identifier
1295821411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS7958
- Practice address
- 910 Madison Ave
Suite 608
Memphis, TN 38163-0001 - Phone
- (901) 448-6476
- NPI assigned
- Oct 5, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS7958 | TN | Primary |
Addresses
Primary practice location
910 Madison Ave
Suite 608
Memphis, TN 38163-0001
Mailing address
45 N Arcadian Cir
#202
Memphis, TN 38103-5999
Phone (901) 578-7511
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 |
|---|---|---|---|
| DS7958 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295821411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 N ARCADIAN CIR",
"address_2": "#202",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381035999",
"telephone_number": "901-578-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 MADISON AVE",
"address_2": "SUITE 608",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381630001",
"telephone_number": "901-448-6476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUBERTIN",
"first_name": "MARY",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS7958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.