NPIMap

Organization Active NPI

Madison Square Family Dental

  • Dental Clinic/Center
  • La Vergne, TN
National Provider Identifier
1528517430
Registry record updated Oct 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
10117 Issued in TN
Legal business name
MADISON SQUARE FAMILY DENTAL
Practice address
1925 Madison Square Blvd
Suite 500
La Vergne, TN 37086-4721
Phone
(404) 992-1241
NPI assigned
Oct 4, 2016
Last updated
Oct 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2016

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

Authorized official

Name
Bo Ding, DMDNPI 1629452883
Title
Dentist/Manager
Phone
(404) 992-1241

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
Dental Clinic/Center 261QD0000X 10117 TN Primary

Addresses

Primary practice location

1925 Madison Square Blvd
Suite 500
La Vergne, TN 37086-4721

Mailing address

1925 Madison Square Blvd
Suite 500
La Vergne, TN 37086-4721

National Provider Directory

National Provider Directory

Locations

1925 Madison Square Blvd
Ste 500
La Vergne, TN 37086
Phone (404) 992-1241

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1528517430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 MADISON SQUARE BLVD",
            "address_2": "SUITE 500",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370864721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MADISON SQUARE BLVD",
            "address_2": "SUITE 500",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370864721",
            "telephone_number": "404-992-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON SQUARE FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "DING",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "DENTIST/MANAGER",
        "authorized_official_telephone_number": "404-992-1241",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.