Active NPI
Anna N/a Duval, D.D.S
- Dentist
- Nashville, TN
National Provider Identifier
1346491636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8877
- Practice address
- 1900 Patterson St Ste 101
Nashville, TN 37203-2128 - Phone
- (615) 320-1805
- Fax
- (615) 320-1548
- NPI assigned
- Oct 5, 2008
- Last updated
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8877 | TN | Primary |
Addresses
Primary practice location
1900 Patterson St Ste 101
Nashville, TN 37203-2128
Mailing address
3370 Sugarloaf Pkwy Ste G8
Lawrenceville, GA 30044-5486
Phone (615) 275-6669
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346491636 | Medicaid | TN | |
| Q001723 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8877 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ama Dental Care LLC | Current | Accepting new patients | |
| Associated Dental Group | Past | Accepting new patients |
Locations
3370 Sugarloaf Pkwy
Ste G8
Lawrenceville, GA 30044
Phone (615) 275-6669
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Lawrenceville, GA
- NPI 1225660541
-
- General Practice Dentistry
- Nashville, TN
- NPI 1699943001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1346491636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3370 SUGARLOAF PKWY STE G8",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300445486",
"telephone_number": "615-275-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PATTERSON ST STE 101",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032128",
"telephone_number": "615-320-1805",
"fax_number": "615-320-1548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVAL",
"first_name": "ANNA",
"middle_name": "N/A",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-05",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "8877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1346491636",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q001723",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 4, 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.