NPIMap

Organization Active NPI

Brentwood Dental Center

  • Dentist
  • Brentwood, TN
National Provider Identifier
1548636814
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BRENTWOOD DENTAL CENTER
Practice address
104 Eastpark Dr
Suite 201
Brentwood, TN 37027-7535
Phone
(615) 373-8307
NPI assigned
Aug 20, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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

Authorized official

Name
Mark WardenNPI 1184796013
Title
Owner
Phone
(615) 373-8307

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

104 Eastpark Dr
Suite 201
Brentwood, TN 37027-7535

Mailing address

104 Eastpark Dr
Suite 201
Brentwood, TN 37027-7535

National Provider Directory

National Provider Directory

Locations

104 Eastpark Dr
Ste 201
Brentwood, TN 37027
Phone (615) 373-8307

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": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1548636814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR",
            "address_2": "SUITE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 EASTPARK DR",
            "address_2": "SUITE 201",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277535",
            "telephone_number": "615-373-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "WARDEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-373-8307"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.