Active NPI
Trisstar Oliver, DDS
- Dentist
- Clarksville, TN
National Provider Identifier
1437591401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 0401414245
- Practice address
- 782 Weatherly Dr
Clarksville, TN 37043-8941 - Phone
- (931) 503-1111
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 0401414245 | VA | Primary |
Addresses
Primary practice location
782 Weatherly Dr
Clarksville, TN 37043-8941
Mailing address
2292 Dalton Dr Ste F
Clarksville, TN 37043-8961
Phone (931) 503-1111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0442000179 | Other | VA | COMMONWEALTH OF VIRGINIA BOARD OF DENTISTRY (TEMPORARY RESIDENT DENTAL LICENSE) |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | va.gov | ||
| CONNECT URL | VA.GOV | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0442000179 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789430400000",
"number": "1437591401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2292 DALTON DR STE F",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438961",
"telephone_number": "931-503-1111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "782 WEATHERLY DR",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370438941",
"telephone_number": "931-503-1111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "TRISSTAR",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-19",
"last_updated": "2026-09-15",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "VA",
"license": "0401414245",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMONWEALTH OF VIRGINIA BOARD OF DENTISTRY (TEMPORARY RESIDENT DENTAL LICENSE)",
"identifier": "0442000179",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "va.gov",
"affiliation": "N",
"address_1": "782 Weatherly Dr",
"city": "Clarksville",
"state": "TN",
"country_code": "US",
"postal_code": "370438941",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "VA.GOV",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "General",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "general",
"address_1": "782 Weatherly Dr",
"city": "Clarksville",
"state": "TN",
"country_code": "US",
"postal_code": "370438941",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.