Active NPI
Tori Mariusso, DMD
- General Practice Dentistry
- Livingston, TN
National Provider Identifier
1679007348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10502
- Practice address
- 508 N Church St
Livingston, TN 38570-1539 - Phone
- (931) 823-3754
- NPI assigned
- Apr 19, 2017
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10502 | TN | Primary |
Addresses
Primary practice location
508 N Church St
Livingston, TN 38570-1539
Mailing address
508 N Church St
Livingston, TN 38570-5626
Phone (931) 823-3754
Other practice location 1
1777 Madison Ste Suite 100
Clarksville, TN 37043
Phone (931) 202-9151
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 |
|---|---|---|---|
| 10502 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Modern Dentistry,PC | Past | Accepting new patients | |
| Confident Smiles & Implants | Past | Accepting new patients | |
| L.G. Puckett D.D.S. | General Practice | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dentist
- Farragut, TN
- NPI 1073134516
-
- Dentist
- Clarksville, TN
- NPI 1104362946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1679007348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 N CHURCH ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385705626",
"telephone_number": "931-823-3754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 N CHURCH ST",
"city": "LIVINGSTON",
"state": "TN",
"postal_code": "385701539",
"telephone_number": "931-823-3754"
}
],
"practiceLocations": [
{
"address_1": "1777 Madison Ste Suite 100",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "37043",
"country_code": "US",
"telephone_number": "931-202-9151",
"fax_number": "931-218-2724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MARIUSSO",
"first_name": "TORI",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-04-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Livingston, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.