Organization Active NPI

Lenox Village Dentistry

  • General Practice Dentistry
  • Murfreesboro, TN
National Provider Identifier
1548596604
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8641 Issued in TN
Legal business name
LENOX VILLAGE DENTISTRY
Practice address
2850 S Church St
Murfreesboro, TN 37127-6374
Phone
(615) 396-8578
NPI assigned
Oct 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Brett Wayne Peaks
Title
Office Manager
Phone
(615) 396-8578

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8641 TN Primary

Addresses

Primary practice location

2850 S Church St
Murfreesboro, TN 37127-6374

Mailing address

2850 S Church St
Murfreesboro, TN 37127-6374

Other names 1

  • Indian Hills Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Indian Hills Dentistry2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2850 S Church St
Murfreesboro, TN 37127
Phone (615) 396-8578

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1548596604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 S CHURCH ST",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276374",
            "telephone_number": "615-396-8578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LENOX VILLAGE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "PEAKS",
        "authorized_official_first_name": "BRETT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-396-8578"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indian Hills Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.