NPIMap

Organization Active NPI

Heartland Dental Care of TN, PC

Doing business as Pleasant Grove Dental

  • General Practice Dentistry
  • Mount Juliet, TN
National Provider Identifier
1447668546
Registry record updated Aug 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND DENTAL CARE OF TN, PC
Doing business as
Pleasant Grove Dental
Practice address
545 N Mount Juliet Rd
Suite 300
Mount Juliet, TN 37122-4416
Phone
(615) 773-0412
NPI assigned
Aug 1, 2014
Last updated
Aug 1, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF TN, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2014

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

Authorized official

Name
Kim Wilson
Title
Cred Supervisor
Phone
(615) 754-2295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

545 N Mount Juliet Rd
Suite 300
Mount Juliet, TN 37122-4416

Mailing address

545 N Mount Juliet Rd
Suite 300
Mount Juliet, TN 37122-4416
Phone (615) 773-0412

Other names 1

  • Pleasant Grove Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of TN PC66 organizations share this tax ID, including this one
Part of
Heartland Dental Care of TN PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

545 N Mount Juliet Rd
Ste 300
Mt Juliet, TN 37122
Phone (615) 773-0412

Practitioners & affiliated clinicians

Practitioners 2

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": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406851200000",
    "number": "1447668546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 N MOUNT JULIET RD",
            "address_2": "SUITE 300",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224416",
            "telephone_number": "615-773-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N MOUNT JULIET RD",
            "address_2": "SUITE 300",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371224416",
            "telephone_number": "615-773-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF TN, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF TN, PC",
        "enumeration_date": "2014-08-01",
        "last_updated": "2014-08-01",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "CRED SUPERVISOR",
        "authorized_official_telephone_number": "615-754-2295"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Grove Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; 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.