Individual provider Active NPI

Sarah Mekonnen, DDS

  • General Practice Dentistry
  • Smyrna, TN
National Provider Identifier
1578899837
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9386 Issued in TN
Practice address
1210 Hazelwood Dr Ste a
Smyrna, TN 37167-3964
Phone
(615) 930-2050
Fax
(615) 459-0568
NPI assigned
Oct 21, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9386 TN
General Practice Dentistry 1223G0001X 9386 TN Primary

Addresses

Primary practice location

1210 Hazelwood Dr Ste a
Smyrna, TN 37167-3964

Mailing address

1210 Hazelwood Dr Ste a
Smyrna, TN 37167-3964
Phone (615) 930-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Happy Smiles Dental Studio Dentist Current Accepting new patients
Evolve Dental Medspa Dentist Current Accepting new patients
Bright Smiles Studio Dentist Current Accepting new patients
Crystal Clear Family Dentistry Dentist Past Accepting new patients

Locations

1210 Hazelwood Dr
Ste A
Smyrna, TN 37167
Phone (615) 459-0566

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1578899837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 HAZELWOOD DR STE A",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673964",
            "telephone_number": "615-930-2050",
            "fax_number": "615-459-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 HAZELWOOD DR STE A",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371673964",
            "telephone_number": "615-930-2050",
            "fax_number": "615-459-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKONNEN",
        "first_name": "SARAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9386",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.