NPIMap

Organization Active NPI

Elijah Brown Family Dental Care, PLLC

  • Dentist
  • Mount Juliet, TN
National Provider Identifier
1598154122
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ELIJAH BROWN FAMILY DENTAL CARE, PLLC
Practice address
1097 Weston Dr
Mount Juliet, TN 37122-3493
Phone
(615) 758-7745
Fax
(615) 758-7651
NPI assigned
Jan 20, 2015
Last updated
Jan 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Mrs. Vikki Lynn Pirrone
Title
Office Coordinator
Phone
(615) 758-7745

Specialties & licenses 1

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

Addresses

Primary practice location

1097 Weston Dr
Mount Juliet, TN 37122-3493

Mailing address

1097 Weston Dr
Mount Juliet, TN 37122-3493
Phone (615) 758-7745

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1598154122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1097 WESTON DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223493",
            "telephone_number": "615-758-7745",
            "fax_number": "615-758-7651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1097 WESTON DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371223493",
            "telephone_number": "615-758-7745",
            "fax_number": "615-758-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIJAH BROWN FAMILY DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "PIRRONE",
        "authorized_official_first_name": "VIKKI",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE COORDINATOR",
        "authorized_official_telephone_number": "615-758-7745",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

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