Active NPI
Hannah Griffin
- Dentist
- Nashville, TN
National Provider Identifier
1619702529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS0000012129
- Practice address
- 4502 Charlotte Ave
Nashville, TN 37209-3610 - Phone
- (615) 647-8421
- NPI assigned
- Sep 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS0000012129 | TN | Primary |
Addresses
Primary practice location
4502 Charlotte Ave
Nashville, TN 37209-3610
Mailing address
1036 Green Acres Rd
Joelton, TN 37080-4825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250205002447 | TN | Order and Referring Only - Dentist | 5496285561 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000012129 | TN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sylvan Park Smiles Dentistry, PC | Dentist | Current | Accepting new patients |
Locations
4502 Charlotte Ave
Nashville, TN 37209
Phone (615) 647-8421
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Nashville, TN
- NPI 1831749027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1619702529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1036 GREEN ACRES RD",
"city": "JOELTON",
"state": "TN",
"postal_code": "370804825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 CHARLOTTE AVE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372093610",
"telephone_number": "615-647-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "HANNAH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-03",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS0000012129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.