Individual provider Active NPI

Laura Aristizabal

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1477057131
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS0000010787 Issued in TN
Practice address
2340 Lebanon Pike
Nashville, TN 37214
Phone
(615) 830-5008
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
General Practice Dentistry 1223G0001X DS0000010787 TN Primary

Addresses

Primary practice location

2340 Lebanon Pike
Nashville, TN 37214

Mailing address

13153 Old Hickory Blvd Apt 918
Antioch, TN 37013-4988
Phone (205) 482-7857

Other practice location 1

1721 Patterson St
Nashville, TN 37203-2925
Phone (615) 329-4790

Other practice location 2

1721 Patterson St
Nashville, TN 37203-2925
Phone (615) 329-4790

Other identifiers 1

IdentifierTypeStateIssuer
DS0000010787MedicaidTN

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
DS0000010787TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Donelson Smiles Dentistry, PC Past Accepting new patients
Interfaith Dental Clinic Past Accepting new patients

Organizations & group practices 2

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1477057131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13153 OLD HICKORY BLVD APT 918",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370134988",
            "telephone_number": "205-482-7857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 LEBANON PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-830-5008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 Patterson St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032925",
            "country_code": "US",
            "telephone_number": "615-329-4790",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Patterson St",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372032925",
            "country_code": "US",
            "telephone_number": "615-329-4790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARISTIZABAL",
        "first_name": "LAURA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS0000010787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DS0000010787",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.