Promise Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS3134 Issued in TN

Legal business name

PROMISE DENTAL

Practice address

2908 Sidco Dr
Nashville, TN 37204-3759

Phone

(615) 401-1103

Fax

(615) 678-4381

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kelly Diane Bush

Title

Doctor's Wife

Phone

(615) 401-1103

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Byron Victor Bush, DDS

  • General Practice Dentistry
  • Nashville, TN
  • NPI 1043200124
  NPD (past)

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1508292269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2908 SIDCO DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043759",
            "telephone_number": "615-401-1103",
            "fax_number": "615-678-4381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2908 SIDCO DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372043759",
            "telephone_number": "615-401-1103",
            "fax_number": "615-678-4381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMISE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "DOCTOR'S WIFE",
        "authorized_official_telephone_number": "615-401-1103",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Residential Services of Tennessee, Inc.
• Prohealth Rural Health Services, Inc
• Project Play Therapy, LLC
• Rochelle Prokupets, MD
• Promed Preferred TN, PC
• Promisecare Pharmacy II LLC (Promise2Care Pharmacy)
• Prompt Transport
• Michael Welles Propper, M.D.
• Terryl Anne Propper, DDS,MS
• Jordon Prosapio, MD

• General Practice Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.