Organization Active NPI

Dove Family Dentistry-Whitehaven PLLC

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1518603265
Registry record updated May 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DOVE FAMILY DENTISTRY-WHITEHAVEN PLLC
Doing business as
Dove Family Dentistry-Whitehaven
Practice address
4097 Elvis Presley Blvd
Memphis, TN 38116-5826
Phone
(901) 425-9449
NPI assigned
May 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2022

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

Authorized official

Name
Vicenta Reyes
Title
Integration Coordinator
Phone
(972) 869-3789

Specialties & licenses 1

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

Addresses

Primary practice location

4097 Elvis Presley Blvd
Memphis, TN 38116-5826

Mailing address

4097 Elvis Presley Blvd
Memphis, TN 38116-5826
Phone (901) 425-9449

Other names 1

  • Dove Family Dentistry-Whitehaven Doing business as

National Provider Directory

National Provider Directory

Locations

4097 Elvis Presley Blvd
Memphis, TN 38116
Phone (901) 425-9449

NPI Registry JSON

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651795200000",
    "number": "1518603265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4097 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165826",
            "telephone_number": "901-425-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4097 ELVIS PRESLEY BLVD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381165826",
            "telephone_number": "901-425-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOVE FAMILY DENTISTRY-WHITEHAVEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-05-06",
        "certification_date": "2022-05-06",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "INTEGRATION COORDINATOR",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dove Family Dentistry-Whitehaven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2022; 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.