Active NPI
Skylor Morton, DDS
- General Practice Dentistry
- Brentwood, TN
National Provider Identifier
1356994479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11024
- Practice address
- 785 Old Hickory Blvd
Brentwood, TN 37027-4512 - Phone
- (575) 513-4141
- NPI assigned
- Jul 17, 2019
- Last updated
- Jul 17, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11024 | TN | Primary |
Addresses
Primary practice location
785 Old Hickory Blvd
Brentwood, TN 37027-4512
Mailing address
785 Old Hickory Blvd
Brentwood, TN 37027-4512
Phone (575) 513-4141
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | 386dentalstudio.com | Direct |
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 |
|---|---|---|---|
| 11024 | TN | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mt. Juliet Dental Studio PLLC | General Practice | Past | Accepting new patients |
| 386 Dental Studio | General Practice | Past | Accepting new patients |
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
- Gallatin, TN
- NPI 1760162093
-
- General Practice Dentistry
- Mount Juliet, TN
- NPI 1447034392
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563321600000",
"number": "1356994479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "785 OLD HICKORY BLVD",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274512",
"telephone_number": "575-513-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 OLD HICKORY BLVD",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274512",
"telephone_number": "575-513-4141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORTON",
"first_name": "SKYLOR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-17",
"last_updated": "2019-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "11024",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "386dentalstudio.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "785 Old Hickory Blvd",
"city": "Brentwood",
"state": "TN",
"country_code": "US",
"postal_code": "370274512",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.