NPIMap

Organization Active NPI

Children's Dental Health Center, PLLC

Doing business as Children's Dental Health Center - Pleasent View

  • Pediatric Dentistry
  • Pleasant View, TN
National Provider Identifier
1588030084
Registry record updated Jan 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9962 Issued in TN
Legal business name
CHILDREN'S DENTAL HEALTH CENTER, PLLC
Doing business as
Children's Dental Health Center - Pleasent View
Practice address
6509 Highway 41a
Suite B
Pleasant View, TN 37146-7170
Phone
(615) 256-7543
Fax
(615) 256-8895
NPI assigned
Aug 19, 2015
Last updated
Jan 8, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN'S DENTAL HEALTH CENTER, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2016

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

Authorized official

Name
Sabin Kane Ewing, DDS
Title
Owner
Phone
(615) 256-7543

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 9738 TN
Pediatric Dentistry 1223P0221X 9962 TN Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 9072 TN
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 9134 TN

Addresses

Primary practice location

6509 Highway 41a
Suite B
Pleasant View, TN 37146-7170

Mailing address

6509 Highway 41a
Suite B
Pleasant View, TN 37146-7170
Phone (615) 256-7543

Other identifiers 1

IdentifierTypeStateIssuer
NAOtherTNTHIS OFFICE DOES NOT ACCEPT MEDICAID

Other names 1

  • Children's Dental Health Center - Pleasent View Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Dental Health Center PLLC2 organizations share this tax ID, including this one
Part of
Children's Dental Health Center PLLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1439942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1588030084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 HIGHWAY 41A",
            "address_2": "SUITE B",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467170",
            "telephone_number": "615-256-7543",
            "fax_number": "615-256-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 HIGHWAY 41A",
            "address_2": "SUITE B",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467170",
            "telephone_number": "615-256-7543",
            "fax_number": "615-256-8895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DENTAL HEALTH CENTER, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S DENTAL HEALTH CENTER, PLLC",
        "enumeration_date": "2015-08-19",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "SABIN",
        "authorized_official_middle_name": "KANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-256-7543",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9738",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9962",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "9072",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "9134",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "THIS OFFICE DOES NOT ACCEPT MEDICAID",
            "identifier": "NA",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Children's Dental Health Center - Pleasent View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pleasant View, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; 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.