Active NPI
Lucy Burgin Sloan, DENTIST
- Dentist
- La Vergne, TN
National Provider Identifier
1659447571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- TN7189
- Practice address
- 379 Waldron Rd
Lavergne, TN 37086 - Phone
- (615) 793-4499
- Fax
- (615) 793-3124
- NPI assigned
- Nov 24, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | TN7189 | TN | Primary |
Addresses
Primary practice location
379 Waldron Rd
Lavergne, TN 37086
Mailing address
379 Waldron Road
Lavergne, TN 37086
Phone (615) 793-4499
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
| License | State | Type | Specialty |
|---|---|---|---|
| TN7189 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659447571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "379 WALDRON ROAD",
"city": "LAVERGNE",
"state": "TN",
"postal_code": "37086",
"telephone_number": "615-793-4499",
"fax_number": "615-793-3124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "379 WALDRON RD",
"city": "LAVERGNE",
"state": "TN",
"postal_code": "37086",
"telephone_number": "615-793-4499",
"fax_number": "615-793-3124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "LUCY",
"middle_name": "BURGIN",
"credential": "DENTIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "TN7189",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.