NPIMap

Organization Active NPI

Tennessee Dental Professionals, PC

Doing business as Airline Road Dental Care

  • General Practice Dentistry
  • Arlington, TN
National Provider Identifier
1609653260
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TENNESSEE DENTAL PROFESSIONALS, PC
Doing business as
Airline Road Dental Care
Practice address
5261 Airline Rd
Ste 102
Arlington, TN 38002-4267
Phone
(901) 290-0885
Fax
(901) 290-0871
NPI assigned
Sep 8, 2023
Last updated
Jan 17, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
TENNESSEE DENTAL PROFESSIONALS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Belinda Huerta
Title
Credentialing Coordinator
Phone
(217) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

5261 Airline Rd
Ste 102
Arlington, TN 38002-4267

Mailing address

5261 Airline Rd
Ste 102
Arlington, TN 38002-4267
Phone (901) 290-0885

Other names 1

  • Airline Road Dental Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of Tennessee PC66 organizations share this tax ID, including this one
Part of
Heartland Dental Care of Tennessee PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

5261 Airline Rd
Ste 102
Arlington, TN 38002
Phone (901) 290-0885

5265 Airline Rd
Arlington, TN 38002

NPI Registry JSON

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

{
    "created_epoch": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1609653260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5261 AIRLINE RD",
            "address_2": "STE 102",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024267",
            "telephone_number": "901-290-0885",
            "fax_number": "901-290-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5261 AIRLINE RD",
            "address_2": "STE 102",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "380024267",
            "telephone_number": "901-290-0885",
            "fax_number": "901-290-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE DENTAL PROFESSIONALS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE DENTAL PROFESSIONALS, PC",
        "enumeration_date": "2023-09-08",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-15",
        "status": "A",
        "authorized_official_last_name": "HUERTA",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airline Road Dental Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Airline Road Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.