Active NPI
Cosmetic & Family Dentistry
- General Practice Dentistry
- Franklin, TN
National Provider Identifier
1356638472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS5340
- Legal business name
- COSMETIC & FAMILY DENTISTRY
- Doing business as
- New Image Dentistry
- Practice address
- 155 Covey Dr
Suite 300
Franklin, TN 37067-5602 - Phone
- (615) 591-4490
- NPI assigned
- Jul 10, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alireza Allen Blourchian, DDS
- Title
- Ceo
- Phone
- (615) 591-4490
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS5340 | TN | Primary |
Addresses
Primary practice location
155 Covey Dr
Suite 300
Franklin, TN 37067-5602
Mailing address
155 Covey Dr
Suite 300
Franklin, TN 37067-5602
Phone (615) 591-4490
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932395639 | Other | PRSONAL NPI | |
| 3206940 | Medicaid | TN |
Other names 1
- New Image Dentistry
National Provider Directory
National Provider DirectoryLocations
155 Covey Dr
Ste 300
Franklin, TN 37067
Phone (615) 591-4490
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Franklin, TN
- NPI 1932395639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1310256000000",
"number": "1356638472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "155 COVEY DR",
"address_2": "SUITE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370675602",
"telephone_number": "615-591-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 COVEY DR",
"address_2": "SUITE 300",
"city": "FRANKLIN",
"state": "TN",
"postal_code": "370675602",
"telephone_number": "615-591-4490"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COSMETIC & FAMILY DENTISTRY",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-10",
"last_updated": "2011-07-10",
"status": "A",
"authorized_official_last_name": "BLOURCHIAN",
"authorized_official_first_name": "ALIREZA",
"authorized_official_middle_name": "ALLEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "615-591-4490",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS5340",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRSONAL NPI",
"identifier": "1932395639",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3206940",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "New Image Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Franklin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.