NPIMap

Organization Active NPI

Heartland Dental Care of Tennessee, PC

Doing business as Crossroads Family Dentistry

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1306026331
Registry record updated Nov 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND DENTAL CARE OF TENNESSEE, PC
Doing business as
Crossroads Family Dentistry
Practice address
4515 Harding Rd
Suite 104
Nashville, TN 37205-2118
Phone
(615) 385-2005
Fax
(615) 460-9611
NPI assigned
Nov 7, 2007
Last updated
Nov 7, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF TENNESSEE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 7, 2007

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

Authorized official

Name
Amy M Kroeger
Title
Ins Coordinator
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

4515 Harding Rd
Suite 104
Nashville, TN 37205-2118

Mailing address

4515 Harding Rd
Suite 104
Nashville, TN 37205-2118
Phone (615) 385-2005

Other names 1

  • Crossroads Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Tennessee Dental Group66 organizations share this tax ID, including this one
Part of
West Tennessee Dental Group

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1194393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1306026331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 HARDING RD",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "615-385-2005",
            "fax_number": "615-460-9611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 HARDING RD",
            "address_2": "SUITE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "615-385-2005",
            "fax_number": "615-460-9611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF TENNESSEE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF TENNESSEE, PC",
        "enumeration_date": "2007-11-07",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INS COORDINATOR",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crossroads Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.