NPIMap

Organization Active NPI

Gateway Family Dentistry Sedation and Implant PLLC

  • General Practice Dentistry
  • Murfreesboro, TN
National Provider Identifier
1689330623
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GATEWAY FAMILY DENTISTRY SEDATION AND IMPLANT PLLC
Practice address
206 N Thompson LN Ste a
Murfreesboro, TN 37129-4333
Phone
(615) 624-6919
NPI assigned
Nov 15, 2021
Organization subpart
Yes
Parent organization
GATEWAY FAMILY DENTISTRY SEDATION AND IMPLANT PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Chris Erwin
Title
Business Manager
Phone
(615) 962-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

206 N Thompson LN Ste a
Murfreesboro, TN 37129-4333

Mailing address

206 N Thompson LN Ste a
Murfreesboro, TN 37129-4333
Phone (615) 624-6919

National Provider Directory

National Provider Directory
Tax ID family
Gateway Family Dentistry Sedation and Implant PLLC2 organizations share this tax ID, including this one
Part of
Gateway Family Dentistry Sedation and Implant PLLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1689330623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 N THOMPSON LN STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294333",
            "telephone_number": "615-624-6919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 N THOMPSON LN STE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294333",
            "telephone_number": "615-624-6919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY FAMILY DENTISTRY SEDATION AND IMPLANT PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GATEWAY FAMILY DENTISTRY SEDATION AND IMPLANT PLLC",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "615-962-8505"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 15, 2021; 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.