NPIMap

Organization Active NPI

Dickson Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Dickson, TN
National Provider Identifier
1407023971
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS7380 Issued in TN
Legal business name
DICKSON PEDIATRIC DENTISTRY PLLC
Practice address
134 Highway 70 E Unit 1
Dickson, TN 37055-2034
Phone
(615) 740-8812
Fax
(615) 740-8801
NPI assigned
May 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Dr. John Carlos Stritikus, D.D.S.NPI 1194727123
Title
Dentist Owner
Phone
(615) 740-8812

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
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DS7380 TN Primary

Addresses

Primary practice location

134 Highway 70 E Unit 1
Dickson, TN 37055-2034

Mailing address

134 Highway 70 E Unit 1
Dickson, TN 37055-2034
Phone (615) 740-8812

National Provider Directory

National Provider Directory

Locations

134 Highway 70 E
Unit 1
Dickson, TN 37055
Phone (615) 740-8812

Practitioners & affiliated clinicians

Practitioners 2

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1407023971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HIGHWAY 70 E UNIT 1",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552034",
            "telephone_number": "615-740-8812",
            "fax_number": "615-740-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HIGHWAY 70 E UNIT 1",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552034",
            "telephone_number": "615-740-8812",
            "fax_number": "615-740-8801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "STRITIKUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "DENTIST OWNER",
        "authorized_official_telephone_number": "615-740-8812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS7380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.