Sophia Shi

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12935 Issued in TN

Practice address

600 S Mount Juliet Rd Ste 3
Mount Juliet, TN 37122-6497

Phone

(615) 716-1653

NPI assigned

Nov 18, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt Juliet Modern Dentistry PC

  dba Mt Juliet Modern Dentistry

  • General Practice Dentistry
  • Mount Juliet, TN
  • NPI 1285371187
  NPD

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

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1316808637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HAGAN ST APT 413",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MOUNT JULIET RD STE 3",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371226497",
            "telephone_number": "615-716-1653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHI",
        "first_name": "SOPHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody Hope Sharpton
• Laura Shaughnessy, RNFA
• Cameron A Shearer Sr., M.D.
• Kimbel David Shepherd, M.D.
• Haley Sherman
• Jordan Ashley Shiflett, LPC-MHSP
• Kelly Short, O.D.
• Raquel Jackson Shutze, LPC-MHSP
• William Siegel, D.C.
• Rebekah Siers, RBT

• General Practice Dentistry in Mount Juliet, TN
• Providers in Mount Juliet, 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 Nov 18, 2025; 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.