Serenity Dental

Primary specialty

DentistTaxonomy code 122300000X

License

7123 Issued in TN

Legal business name

SERENITY DENTAL

Practice address

1030 W Main St
Lebanon, TN 37087-3345

Phone

(615) 444-3932

Fax

(615) 444-5831

NPI assigned

Aug 28, 2014

Organization subpart

No

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

Authorized official

Name

Teresa K Larkins, DMDNPI 1457400996

Title

Owner

Phone

(615) 444-3932

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa K. Larkins, DMD

  • Dentist
  • Lebanon, TN
  • NPI 1457400996
  NPD (past) Authorized official
• John Minick Neely, DMD

  • General Practice Dentistry
  • Lebanon, TN
  • NPI 1891178117
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1538569496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873345",
            "telephone_number": "615-444-3932",
            "fax_number": "615-444-5831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W MAIN ST",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873345",
            "telephone_number": "615-444-3932",
            "fax_number": "615-444-5831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "LARKINS",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-444-3932",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "7123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI FOR TERESA K. LARKINS, DMD",
            "identifier": "1457400996",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jim L. Scott, M.D.
• Jeremy Brian Seaborn, NP
• Katie Agee Seal, N.P.
• Michael Shehab Sedhom, MD
• Select Physical Therapy Holdings, Inc.
• Grant Shanks, PT
• Xin Shen
• Suzanne M Shimaitis, P.A.C.
• Kerri Shingleton, MS, RD, LDN, CNSC
• Kristen Brooke Shores, MS,CCC-SLP

• Dentist in Lebanon, TN
• Providers in Lebanon, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.