M.Paula Fedler D.D.S.,PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9073 Issued in TN

Legal business name

M.PAULA FEDLER D.D.S.,PLLC

Practice address

390 Harding PL Ste 101
Nashville, TN 37211-3924

Phone

(615) 285-3949

NPI assigned

Jan 14, 2014

Organization subpart

No

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

Authorized official

Name

Chris Fedler

Title

Secretary

Phone

(615) 285-3949

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389657600000",
    "number": "1316369168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 HARDING PL STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113924",
            "telephone_number": "615-285-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 HARDING PL STE 101",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372113924",
            "telephone_number": "615-285-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.PAULA FEDLER D.D.S.,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-14",
        "last_updated": "2014-01-14",
        "status": "A",
        "authorized_official_last_name": "FEDLER",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "615-285-3949"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1525764",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2014; 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.