NPIMap

Organization Active NPI

Brink & White Pediatric Dental Associates, PLLC

  • Pediatric Dentistry
  • Bartlett, TN
National Provider Identifier
1629262399
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
BRINK & WHITE PEDIATRIC DENTAL ASSOCIATES, PLLC
Practice address
6565 Stage Road
Suite 2
Bartlett, TN 38134-0280
Phone
(901) 382-0280
Fax
(901) 382-4148
NPI assigned
Sep 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Dr. Joshua A Brink Sr., DDSNPI 1033290929
Title
Owner
Phone
(901) 382-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

6565 Stage Road
Suite 2
Bartlett, TN 38134-0280

Mailing address

6565 Stage Road
Suite 2
Bartlett, TN 38134-0280
Phone (901) 382-0280

Other identifiers 1

IdentifierTypeStateIssuer
9177551MedicaidTN

Other names 1

  • Joshua A Brink, DDS Former legal business name

National Provider Directory

National Provider Directory

Locations

6565 Stage Rd
Ste 2
Bartlett, TN 38134
Phone (901) 382-0280

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1629262399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 STAGE ROAD",
            "address_2": "SUITE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381340280",
            "telephone_number": "901-382-0280",
            "fax_number": "901-382-4148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 STAGE ROAD",
            "address_2": "SUITE 2",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381340280",
            "telephone_number": "901-382-0280",
            "fax_number": "901-382-4148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRINK & WHITE PEDIATRIC DENTAL ASSOCIATES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-382-0280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9177551",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua A Brink, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.