Imperial Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8099 Issued in TN

Legal business name

IMPERIAL DENTAL

Practice address

5126 Summer Ave
101
Memphis, TN 38122-4400

Phone

(901) 818-1990

Fax

(901) 818-1991

NPI assigned

Jun 16, 2015

Organization subpart

No

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

Authorized official

Name

Sparkle Eulls

Title

Office Manager

Phone

(901) 818-1990

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.

• Michael Edward Solomon, DDS

  • Dentist
  • Memphis, TN
  • NPI 1093952269
  NPD (past)
• Mahboubeh Sayed Taghavi, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
  • NPI 1508988254
  NPD (past)

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434412800000",
    "number": "1588045454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 SUMMER AVE",
            "address_2": "101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224400",
            "telephone_number": "901-818-1990",
            "fax_number": "901-818-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 SUMMER AVE",
            "address_2": "101",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381224400",
            "telephone_number": "901-818-1990",
            "fax_number": "901-818-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A",
        "authorized_official_last_name": "EULLS",
        "authorized_official_first_name": "SPARKLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-818-1990"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imminent Trends, LLC (Kanika Jones)
• Immunobridge Medical Group, PLC
• Impact Midsouth Inc.
• Impeccable Care Services
• Impeccable Health Services & Quality Home Care
• Implant Dentistry of the Mid South
• Hira Imran
• Raed E Imseis, MD
• In Caring Hands
• In His Hands

• General Practice Dentistry in Memphis, TN
• Providers in Memphis, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.