NPIMap

Organization Active NPI

Richland Creek Dental Group, PLLC

Doing business as Dentistry of Nashville

  • Dental Clinic/Center
  • Nashville, TN
National Provider Identifier
1619379963
Registry record updated Jan 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
7873 Issued in TN
Legal business name
RICHLAND CREEK DENTAL GROUP, PLLC
Doing business as
Dentistry of Nashville
Practice address
2125 Blakemore Ave
Nashville, TN 37212-3505
Phone
(615) 383-3690
Fax
(615) 383-3697
NPI assigned
Sep 18, 2014
Last updated
Jan 3, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2020

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

Authorized official

Name
Christina Sandoval
Title
Director of Revenue Cycle
Phone
(615) 477-5815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 7873 TN Primary

Addresses

Primary practice location

2125 Blakemore Ave
Nashville, TN 37212-3505

Mailing address

2125 Blakemore Ave
Nashville, TN 37212-3505
Phone (615) 383-3690

Other names 1

  • Dentistry of Nashville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Richland Creek Dental Group PLLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578009600000",
    "number": "1619379963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 BLAKEMORE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123505",
            "telephone_number": "615-383-3690",
            "fax_number": "615-383-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 BLAKEMORE AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372123505",
            "telephone_number": "615-383-3690",
            "fax_number": "615-383-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHLAND CREEK DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2020-01-03",
        "certification_date": "2020-01-03",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE CYCLE",
        "authorized_official_telephone_number": "615-477-5815"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "7873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentistry of Nashville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; 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.