Steven C Gilliam, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

002761 Issued in TN

Practice address

104 Eastpark Dr
Suite 201
Brentwood, TN 37027-7535

Phone

(615) 373-8307

NPI assigned

May 2, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Tennessee Dental Professionals, PC

  dba Songstad Dental Group

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1194321455
  NPD (past)

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1376719070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR",
            "address_2": "SUITE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535",
            "telephone_number": "615-373-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR",
            "address_2": "SUITE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535",
            "telephone_number": "615-373-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLIAM",
        "first_name": "STEVEN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "002761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Ruth Gill, PT, DPT
• John Gillespie
• Macie Gillespie, PHARMD
• Jennifer Gillett, LMFT
• Paul Lawrence Gilliam, DDS
• Pamela Gillon, LPC
• Dana Jane Gilreath
• Matthew Girello
• Malcolm Brian Glass, APN
• Ashton Wright Glasscock, DMD

• Dentist in Brentwood, TN
• Providers in Brentwood, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.