NPIMap

Organization Active NPI

Richland Creek Dental Group, PLLC

  • Dental Clinic/Center
  • Goodlettsville, TN
National Provider Identifier
1336788470
Registry record updated Jan 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
RICHLAND CREEK DENTAL GROUP, PLLC
Practice address
313 Bluebird Dr
Goodlettsville, TN 37072-2303
Phone
(615) 859-1910
NPI assigned
Jan 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2020

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

Authorized official

Name
Christina Sandoval
Title
Director of Revenue Cycle
Phone
(505) 604-4986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

313 Bluebird Dr
Goodlettsville, TN 37072-2303

Mailing address

3130 Evreux Dr
Murfreesboro, TN 37129-0206
Phone (505) 604-4986

Other names 1

  • Schmidle Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Richland Creek Dental Group PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

313 Bluebird Dr
Goodlettsvlle, TN 37072
Phone (561) 635-3664

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1336788470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 EVREUX DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371290206",
            "telephone_number": "505-604-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 BLUEBIRD DR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370722303",
            "telephone_number": "615-859-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND CREEK DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "505-604-4986"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Schmidle Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.