Vibe Dental of Fairview

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

VIBE DENTAL OF FAIRVIEW

Practice address

1696 Fairview Blvd Ste 104
Fairview, TN 37062-5144

Phone

(615) 799-9234

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Gwen McConnell

Title

Support Officer

Phone

(931) 205-6838

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1649993874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 S 2ND ST",
            "city": "PULASKI",
            "state": "TN",
            "postal_code": "384783842",
            "telephone_number": "931-205-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1696 FAIRVIEW BLVD STE 104",
            "city": "FAIRVIEW",
            "state": "TN",
            "postal_code": "370625144",
            "telephone_number": "615-799-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIBE DENTAL OF FAIRVIEW",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "SUPPORT OFFICER",
        "authorized_official_telephone_number": "931-205-6838"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.