NPIMap

Organization Active NPI

Castle Mid-South Dental Centers

  • General Practice Dentistry
  • Franklin, TN
National Provider Identifier
1417023599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5344 Issued in TN
Legal business name
CASTLE MID-SOUTH DENTAL CENTERS
Practice address
1010 Murfreesboro Rd
Suite 196
Franklin, TN 37064-3000
Phone
(615) 794-0402
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Timothy Mathis, DDS
Title
Owner
Phone
(615) 794-0402

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 5344 TN Primary

Addresses

Primary practice location

1010 Murfreesboro Rd
Suite 196
Franklin, TN 37064-3000

Mailing address

1010 Murfreesboro Rd
Suite 196
Franklin, TN 37064-3000
Phone (615) 794-0402

Other names 1

  • Castle Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bright Now Dental Hendersonville2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1010 Murfreesboro Rd
Ste 196
Franklin, TN 37064
Phone (615) 794-0402

401 S Mount Juliet Rd
Ste 320
Mt Juliet, TN 37122
Phone (615) 762-3807

Practitioners & affiliated clinicians

Practitioners 5

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417023599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MURFREESBORO RD",
            "address_2": "SUITE 196",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643000",
            "telephone_number": "615-794-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MURFREESBORO RD",
            "address_2": "SUITE 196",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643000",
            "telephone_number": "615-794-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MID-SOUTH DENTAL CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-794-0402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Castle Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.