Individual provider Active NPI

Bo Ding, DMD

  • Dentist
  • La Vergne, TN
National Provider Identifier
1629452883
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10117 Issued in TN
Practice address
1925 Madison Square Blvd Ste 500
La Vergne, TN 37086-4722
Phone
(404) 992-1241
NPI assigned
Jul 16, 2015
Last updated
May 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10117 TN Primary

Addresses

Primary practice location

1925 Madison Square Blvd Ste 500
La Vergne, TN 37086-4722

Mailing address

1925 Madison Square Blvd Ste 500
La Vergne, TN 37086-4722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10117TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Music City Orthodontics PLLC Current Accepting new patients
Mi Plaza Dental CurrentSince Apr 27, 2025 Accepting new patients
Madison Square Family Dental PastSince May 18, 2025 Accepting new patients

Locations

3991 Nolensville Pike
Nashville, TN 37211
Phone (404) 992-1241

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1629452883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1925 MADISON SQUARE BLVD STE 500",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370864722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 MADISON SQUARE BLVD STE 500",
            "city": "LA VERGNE",
            "state": "TN",
            "postal_code": "370864722",
            "telephone_number": "404-992-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DING",
        "first_name": "BO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Vergne, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.