Organization Active NPI

Robert S Elam DDS, PC

  • Dental Clinic/Center
  • Nashville, TN
National Provider Identifier
1629470984
Registry record updated Sep 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3671 Issued in TN
Legal business name
ROBERT S ELAM DDS, PC
Practice address
2125 Blakemore Ave
Nashville, TN 37212-3505
Phone
(615) 383-3690
Fax
(615) 383-3697
NPI assigned
Sep 18, 2014
Last updated
Sep 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2014

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

Authorized official

Name
Dr. Robert S Elam, D.D.S.NPI 1306957220
Title
Dentist
Phone
(615) 383-3690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3671 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

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1410998400000",
    "number": "1629470984",
    "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": "ROBERT S ELAM DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-18",
        "last_updated": "2014-09-18",
        "status": "A",
        "authorized_official_last_name": "ELAM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-383-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "3671",
            "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 18, 2014; 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.