Active NPI
Samuel Gonzalo Brick, DDS
- General Practice Dentistry
- Nashville, TN
National Provider Identifier
1497068589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9189
- Practice address
- 451 Murfreesboro Rd
Nashville, TN 37210-2842 - Phone
- (615) 256-7543
- NPI assigned
- Jul 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9189 | TN | Primary |
Addresses
Primary practice location
451 Murfreesboro Rd
Nashville, TN 37210-2842
Mailing address
1915A Church St
Nashville, TN 37203-2203
Phone (615) 327-4739
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279497600000",
"number": "1497068589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1915A CHURCH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032203",
"telephone_number": "615-327-4739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "451 MURFREESBORO RD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372102842",
"telephone_number": "615-256-7543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRICK",
"first_name": "SAMUEL",
"middle_name": "GONZALO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-19",
"last_updated": "2010-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "9189",
"primary": true
}
],
"identifiers": [],
"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 Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.