NPIMap

Organization Active NPI

Vibe Dental of Antioch PLLC

  • General Practice Dentistry
  • Antioch, TN
National Provider Identifier
1306570619
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
VIBE DENTAL OF ANTIOCH PLLC
Practice address
5357 Mount View Rd
Antioch, TN 37013-2308
Phone
(615) 731-8960
NPI assigned
Jul 12, 2022
Last updated
Jul 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Nathan W Owens, DMDNPI 1497916001
Title
Owner
Phone
(931) 363-1388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

5357 Mount View Rd
Antioch, TN 37013-2308

Mailing address

317 S 2ND St
Pulaski, TN 38478-3842
Phone (615) 512-1839

National Provider Directory

National Provider Directory

Locations

5357 Mount View Rd
Antioch, TN 37013
Phone (615) 731-8960

317 S 2nd St
Pulaski, TN 38478
Phone (931) 363-5417

Practitioners & affiliated clinicians

Practitioners 4

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": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1306570619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783842",
            "telephone_number": "615-512-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5357 MOUNT VIEW RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132308",
            "telephone_number": "615-731-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBE DENTAL OF ANTIOCH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-363-1388",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.