Individual provider Active NPI

Steven A Roush, DMD

  • General Practice Dentistry
  • Franklin, TN
National Provider Identifier
1467945402
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10981 Issued in TN
Practice address
5040 Carothers Parkway
Ste 101
Franklin, TN 37067
Phone
(615) 656-0217
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60857594 WA
General Practice Dentistry 1223G0001X 10981 TN Primary

Addresses

Primary practice location

5040 Carothers Parkway
Ste 101
Franklin, TN 37067

Mailing address

5040 Carothers Parkway
Ste 101
Franklin, TN 37067
Phone (615) 656-0217

Other practice location 1

104 W 3rd St
Port Angeles, WA 98362-2825
Phone (360) 452-9744

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

LicenseStateTypeSpecialty
10981TNMDGeneral Practice Dentistry
DE60857594WAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cool Springs Modern Dentistry, PC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1467945402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5040 CAROTHERS PARKWAY",
            "address_2": "STE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-656-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5040 CAROTHERS PARKWAY",
            "address_2": "STE 101",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "37067",
            "telephone_number": "615-656-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "104 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Port Angeles",
            "state": "WA",
            "postal_code": "983622825",
            "country_code": "US",
            "telephone_number": "360-452-9744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "STEVEN",
        "middle_name": "A",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60857594",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.