Active NPI
Laura Aristizabal
- General Practice Dentistry
- Nashville, TN
National Provider Identifier
1477057131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS0000010787
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DS0000010787 | Medicaid | TN |
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 |
|---|---|---|---|
| DS0000010787 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Nashville, TN
- NPI 1912387242
-
- Dentist
- Nashville, TN
- NPI 1811160781
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.