Germantown Dental

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

8995 Issued in TN

Legal business name

GERMANTOWN DENTAL

Practice address

1324 4TH Ave N
Nashville, TN 37208-2716

Phone

(615) 742-5578

NPI assigned

Dec 16, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Kellum, DDS

Title

Dentist

Phone

(615) 604-5584

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Norma Jean Coleman, DDS

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1902819840
  NPD (past)

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1417312562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1324 4TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1324 4TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082716",
            "telephone_number": "615-742-5578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERMANTOWN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "KELLUM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-604-5584",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TN",
            "license": "8995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith Gerhart, MS, CGC
• Michael Robert Gerlach, ATC, EMT
• Rainey Germain, FNP-C
• German Castillo DDS PLLC (Children's Oral Care Office)
• Lisa Germano
• Lauren Mechele Germany, NP
• Katherine Germek
• Marcia Germino, RN
• John P Gerome, CRNA
• Ariana Beck Geromes, M.D.

• Preferred Provider Organization in Nashville, TN
• Providers in Nashville, TN by specialty
• Preferred Provider Organization in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.