Organization Active NPI

Sumner County Dental

  • Dentist
  • Gallatin, TN
National Provider Identifier
1679543490
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS3184 Issued in TN
Legal business name
SUMNER COUNTY DENTAL
Practice address
1005B Union School Rd
Gallatin, TN 37066
Phone
(615) 451-7200
Fax
(615) 451-3666
NPI assigned
Jan 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. James Michael Reed, DDS
Title
County Dentist
Phone
(615) 451-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS3184 TN Primary

Addresses

Primary practice location

1005B Union School Rd
Gallatin, TN 37066

Mailing address

1005B Union School Rd
Gallatin, TN 37066
Phone (615) 451-7200

Other identifiers 1

IdentifierTypeStateIssuer
3225507MedicaidTN

National Provider Directory

National Provider Directory
Tax ID family
Sumner County Dental2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1005B Union School Rd
Gallatin, TN 37066
Phone (615) 451-7200

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679543490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005B UNION SCHOOL RD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-451-7200",
            "fax_number": "615-451-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005B UNION SCHOOL RD",
            "city": "GALLATIN",
            "state": "TN",
            "postal_code": "37066",
            "telephone_number": "615-451-7200",
            "fax_number": "615-451-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER COUNTY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "COUNTY DENTIST",
        "authorized_official_telephone_number": "615-451-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS3184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3225507",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallatin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.