Individual provider Active NPI

Jason Ronald Vogt, D.D.S.

  • Pediatric Dentistry
  • Murfreesboro, TN
National Provider Identifier
1669560090
Registry record updated Sep 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
8622 Issued in TN
Practice address
614 E Clark Blvd
Murfreesboro, TN 37130-2121
Phone
(615) 890-0885
NPI assigned
Oct 11, 2006
Last updated
Sep 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 6421 NE
Pediatric Dentistry 1223P0221X 8622 TN Primary

Addresses

Primary practice location

614 E Clark Blvd
Murfreesboro, TN 37130-2121

Mailing address

411B Ridgewood Rd
Franklin, TN 37064-5235
Phone (615) 599-0007

Other practice location 1

3808 Old Hickory Blvd
Old Hickory, TN 37138-2220
Phone (615) 599-0007

Other identifiers 1

IdentifierTypeStateIssuer
470789985-13MedicaidNE

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

LicenseStateTypeSpecialty
6421NEMDPediatric Dentist
8622TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grin Doctors PLLC Pediatric Dentistry PastSince May 21, 2023 Accepting new patients
McKee, Curry, Stanley, Pediatric Dentistry Partnership Pediatric Dentistry Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1669560090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411B RIDGEWOOD RD",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370645235",
            "telephone_number": "615-599-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 E CLARK BLVD",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371302121",
            "telephone_number": "615-890-0885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3808 Old Hickory Blvd",
            "address_purpose": "LOCATION",
            "city": "Old Hickory",
            "state": "TN",
            "postal_code": "371382220",
            "country_code": "US",
            "telephone_number": "615-599-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VOGT",
        "first_name": "JASON",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NE",
            "license": "6421",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "8622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "470789985-13",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.