Organization Active NPI

American Family Dentistry of Memphis, PC

  • General Practice Dentistry
  • Bartlett, TN
National Provider Identifier
1649930876
Registry record updated Dec 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC
Practice address
7519 US Highway 64
Bartlett, TN 38133-8929
Phone
(901) 371-0609
Fax
(901) 371-0284
NPI assigned
Dec 29, 2021
Organization subpart
Yes
Parent organization
AMERICAN FAMILY DENTISTRY OF MEMPHIS, PCAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Celia Hayes
Title
Credentialing Coordinator
Phone
(217) 540-2100

Corporate family (same tax ID) 22

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

View all 22

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Cordova Family Dentistry (23 organizations share this tax ID)
Part of
Cordova Family Dentistry

Locations

7519 US Highway 64
Bartlett, TN 38133
Phone (901) 371-0609

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

7519 US Highway 64
Bartlett, TN 38133-8929

Mailing address

7519 US Highway 64
Bartlett, TN 38133-8929
Phone (901) 371-0609

Other names 1

NPPES NPI Registry
  • American Family Dentistry Bartlett Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2021.

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1649930876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7519 US HIGHWAY 64",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338929",
            "telephone_number": "901-371-0609",
            "fax_number": "901-371-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7519 US HIGHWAY 64",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381338929",
            "telephone_number": "901-371-0609",
            "fax_number": "901-371-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMERICAN FAMILY DENTISTRY OF MEMPHIS, PC",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CELIA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "217-540-2100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Family Dentistry Bartlett",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 29, 2021; 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.