Individual provider Active NPI

Cynthia Lopez Ventura

  • Dentist
  • Nashville, TN
National Provider Identifier
1669141917
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
11640 Issued in TN
Practice address
4515 Harding Pike Ste 104
Nashville, TN 37205-2118
Phone
(615) 385-2008
NPI assigned
Sep 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 11640 TN Primary

Addresses

Primary practice location

4515 Harding Pike Ste 104
Nashville, TN 37205-2118

Mailing address

4515 Harding Pike Ste 104
Nashville, TN 37205-2118
Phone (615) 385-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241219000896 TN Order and Referring Only - DentistPractitioner - Dentist 5092242701

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11640TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dental Health, PLLC PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1669141917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 HARDING PIKE STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "615-385-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4515 HARDING PIKE STE 104",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052118",
            "telephone_number": "615-385-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ VENTURA",
        "first_name": "CYNTHIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "11640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.