NPIMap

Organization Active NPI

Big Ridge Family and Cosmetic Dentistry, PLLC

  • Dental Clinic/Center
  • Hixson, TN
National Provider Identifier
1356676829
Registry record updated Oct 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BIG RIDGE FAMILY AND COSMETIC DENTISTRY, PLLC
Practice address
5606 Highway 153
Hixson, TN 37343-3725
Phone
(423) 877-1334
NPI assigned
Oct 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2009

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

Authorized official

Name
Dr. Nina Verstrat, DDSNPI 1568658185
Title
Managing Member
Phone
(423) 877-1334

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
Dental Clinic/Center 261QD0000X TN Primary

Addresses

Primary practice location

5606 Highway 153
Hixson, TN 37343-3725

Mailing address

5606 Highway 153
Hixson, TN 37343-3725
Phone (423) 877-1334

National Provider Directory

National Provider Directory

Locations

5606 Highway 153
Hixson, TN 37343
Phone (423) 877-1334

Practitioners & affiliated clinicians

Practitioners 4

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": "1255651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255651200000",
    "number": "1356676829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5606 HIGHWAY 153",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433725",
            "telephone_number": "423-877-1334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5606 HIGHWAY 153",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433725",
            "telephone_number": "423-877-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG RIDGE FAMILY AND COSMETIC DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-16",
        "last_updated": "2009-10-16",
        "status": "A",
        "authorized_official_last_name": "VERSTRAT",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "423-877-1334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2009; 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.