NPIMap

Organization Active NPI

David Roach DDS Family Dentistry PC

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1487958641
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7165 Issued in TN
Legal business name
DAVID ROACH DDS FAMILY DENTISTRY PC
Practice address
3817 Bedford Ave
Suite 130
Nashville, TN 37215-2546
Phone
(615) 383-7801
Fax
(615) 297-2834
NPI assigned
Jan 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

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

Authorized official

Name
Dr. Charles David Roach, DDSNPI 1053491738
Title
Owner/Doctor
Phone
(615) 383-7801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7165 TN Primary

Addresses

Primary practice location

3817 Bedford Ave
Suite 130
Nashville, TN 37215-2546

Mailing address

3817 Bedford Ave
Suite 130
Nashville, TN 37215-2546
Phone (615) 383-7801

Other names 1

  • David Roach Family Dentistry Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
David Roach DDS Family Dentistry PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3817 Bedford Ave
Ste 130
Nashville, TN 37215
Phone (615) 383-7801

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1487958641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 BEDFORD AVE",
            "address_2": "SUITE 130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152546",
            "telephone_number": "615-383-7801",
            "fax_number": "615-297-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 BEDFORD AVE",
            "address_2": "SUITE 130",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152546",
            "telephone_number": "615-383-7801",
            "fax_number": "615-297-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID ROACH DDS FAMILY DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-03",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "ROACH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "615-383-7801",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Roach Family Dentistry",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jan 3, 2011; 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.