Organization Active NPI

Cosmetic & Family Dentistry

  • General Practice Dentistry
  • Franklin, TN
National Provider Identifier
1356638472
Registry record updated Jul 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS5340 Issued in TN
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

Updated by the provider on Jul 10, 2011

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

Authorized official

Name
Dr. Alireza Allen Blourchian, DDSNPI 1932395639
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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1932395639OtherPRSONAL NPI
3206940MedicaidTN

Other names 1

  • New Image Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.