Active NPI
Kristen Darville, DDS
- Pediatric Dentistry
- Nashville, TN
National Provider Identifier
1508080144
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 9272
- Practice address
- 1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501 - Phone
- (615) 327-6910
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 2529 | OH | |
| Pediatric Dentistry | 1223P0221X | 9272 | TN | Primary |
Addresses
Primary practice location
1005 Dr DB Todd Jr Blvd
Nashville, TN 37208-3501
Mailing address
510 Old Hickory Blvd
Apt. 205
Nashville, TN 37209-5164
Phone (216) 403-7088
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161230000614 | OH | Order and Referring Only - Oral Surgery | 2163606393 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2529 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1508080144",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 OLD HICKORY BLVD",
"address_2": "APT. 205",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372095164",
"telephone_number": "216-403-7088"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1005 DR DB TODD JR BLVD",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372083501",
"telephone_number": "615-327-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DARVILLE",
"first_name": "KRISTEN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "2529",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "9272",
"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 Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.