DS of Bartlett PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DS OF BARTLETT PLLC

Practice address

2805 Summer Oaks Dr
Bartlett, TN 38134-3812

Phone

(901) 385-9898

Fax

(901) 385-9880

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Jan Minnick

Title

Operations Coordinator

Phone

(615) 509-9858

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Olufemi Folabi Fadahunsi, D.D.S.

  • General Practice Dentistry
  • Bartlett, TN
  • NPI 1427497130
  NPD (past)
• Freida Carole Grimes-Moore, DDS

  • General Practice Dentistry
  • Saint Louis, MO
  • NPI 1114012200
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1558738468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 SUMMER OAKS DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343812",
            "telephone_number": "901-385-9898",
            "fax_number": "901-385-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 SUMMER OAKS DR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381343812",
            "telephone_number": "901-385-9898",
            "fax_number": "901-385-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DS OF BARTLETT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MINNICK",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "615-509-9858",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Peter Benvenuto
• Dr. Pravin Patel-Internal Medicine
• DRC Chiropractic LLC
• Driven by Diamonds
• Shelby Drope, PHARMD
• Marissa Lauren Duarte, LCSW
• Ashlyn Marie Dunham, DPT
• Emily P Dunn, P.T.A.
• Hannah Marie Dunn, PTA
• Teaira Dunn

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

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