NPIMap

Organization Active NPI

TN Dental Professionals II PC

  • Dentist
  • Nashville, TN
National Provider Identifier
1417300617
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
3831 Issued in TN
Legal business name
TN DENTAL PROFESSIONALS II PC
Practice address
7057 Highway 70 S
Nashville, TN 37221-2207
Phone
(615) 673-7627
Fax
(615) 673-7628
NPI assigned
Jul 22, 2016
Last updated
Dec 3, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Katie Workman
Title
Analyst, Revenue Cycle Management
Phone
(440) 241-1931

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3831 TN Primary

Addresses

Primary practice location

7057 Highway 70 S
Nashville, TN 37221-2207

Mailing address

PO Box 306082
Nashville, TN 37230-6082
Phone (615) 620-5990

National Provider Directory

National Provider Directory
Tax ID family
East Hamilton Dental4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3189 Lebanon Pike
Ste 10
Nashville, TN 37214
Phone (615) 316-0701

5802 Nolensville Rd
Ste 101
Nashville, TN 37211
Phone (615) 832-5899

Practitioners & affiliated clinicians

Practitioners 1

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": "1469145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1417300617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306082",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306082",
            "telephone_number": "615-620-5990",
            "fax_number": "615-620-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7057 HIGHWAY 70 S",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372212207",
            "telephone_number": "615-673-7627",
            "fax_number": "615-673-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TN DENTAL PROFESSIONALS II PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-22",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "WORKMAN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "ANALYST, REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "440-241-1931"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "3831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 3, 2018; 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.