Organization Active NPI

TN Southern Dental PPO

Doing business as BiTE Dentistry

  • Dentist
  • Nashville, TN
National Provider Identifier
1376349225
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
TN SOUTHERN DENTAL PPO
Doing business as
BiTE Dentistry
Practice address
3212 W End Ave Ste 301
Nashville, TN 37203-1383
Phone
(615) 297-7440
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TN SOUTHERN DENTAL PPOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Authorized official

Name
Erika Melissa Menjivar
Title
Sr. Credentialing Specialist
Phone
(469) 596-6137

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

3212 W End Ave Ste 301
Nashville, TN 37203-1383

Mailing address

5830 Granite Pkwy Ste 780
Plano, TX 75024-6775

Other names 1

  • BiTE Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
TN Southern Dental PPO6 organizations share this tax ID, including this one
Part of
TN Southern Dental PPO

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3212 West End Ave
Ste 301
Nashville, TN 37203
Phone (615) 297-7440

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740096000000",
    "number": "1376349225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 GRANITE PKWY STE 780",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750246775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 W END AVE STE 301",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031383",
            "telephone_number": "615-297-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN SOUTHERN DENTAL PPO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TN SOUTHERN DENTAL PPO",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A",
        "authorized_official_last_name": "MENJIVAR",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "SR. CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "469-596-6137"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BiTE Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 21, 2025; 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.