Organization Active NPI

Ironwood Dental

  • Dental Clinic/Center
  • Clarksville, TN
National Provider Identifier
1417557380
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
IRONWOOD DENTAL
Practice address
2550 Madison St
Clarksville, TN 37043-3704
Phone
(931) 220-9905
NPI assigned
Oct 29, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Jonathan Spurgeon, DMDNPI 1568967966
Title
Owner
Phone
(931) 220-9905

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2550 Madison St
Clarksville, TN 37043-3704

Mailing address

2550 Madison St Ste C
Clarksville, TN 37043-5412
Phone (931) 291-6530

National Provider Directory

National Provider Directory

Locations

2550 Madison St
Ste C
Clarksville, TN 37043
Phone (931) 291-6530

2550 Madison St
Clarksville, TN 37043
Phone (931) 220-9905

Practitioners & affiliated clinicians

Practitioners 1

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": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1417557380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 MADISON ST STE C",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370435412",
            "telephone_number": "931-291-6530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 MADISON ST",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370433704",
            "telephone_number": "931-220-9905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "SPURGEON",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-220-9905",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.