NPIMap

Organization Active NPI

Heartland Dental Care of Tennessee, PC

Doing business as Dental Care at Southcrest

  • General Practice Dentistry
  • Brentwood, TN
National Provider Identifier
1467184952
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
HEARTLAND DENTAL CARE OF TENNESSEE, PC
Doing business as
Dental Care at Southcrest
Practice address
1008 Gant Hill Dr
Brentwood, TN 37027-2060
Phone
(629) 529-4041
Fax
(629) 529-4233
NPI assigned
Jun 24, 2022
Last updated
Jun 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND DENTAL CARE OF TENNESSEE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Authorized official

Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1008 Gant Hill Dr
Brentwood, TN 37027-2060

Mailing address

1008 Gant Hill Dr
Brentwood, TN 37027-2060
Phone (629) 529-4041

Other names 1

  • Dental Care at Southcrest Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West Tennessee Dental Group66 organizations share this tax ID, including this one
Part of
West Tennessee Dental Group

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

1008 Gant Hill Dr
Brentwood, TN 37027
Phone (217) 540-5696

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1656028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656028800000",
    "number": "1467184952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 GANT HILL DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272060",
            "telephone_number": "629-529-4041",
            "fax_number": "629-529-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 GANT HILL DR",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272060",
            "telephone_number": "629-529-4041",
            "fax_number": "629-529-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DENTAL CARE OF TENNESSEE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND DENTAL CARE OF TENNESSEE, PC",
        "enumeration_date": "2022-06-24",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Care at Southcrest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; 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.