NPIMap

Organization Active NPI

Brentwood Family Dentists

  • Dentist
  • Brentwood, TN
National Provider Identifier
1699288175
Registry record updated Apr 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS3961 Issued in TN
Legal business name
BRENTWOOD FAMILY DENTISTS
Practice address
5123 Virginia Way Ste B12
Brentwood, TN 37027-7519
Phone
(615) 221-8837
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2018

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

Authorized official

Name
Dr. Thomas HomonnayNPI 1740718949
Title
Dentist
Phone
(615) 221-8837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 10475 TN
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DS3961 TN Primary

Addresses

Primary practice location

5123 Virginia Way Ste B12
Brentwood, TN 37027-7519

Mailing address

5123 Virginia Way Ste B12
Brentwood, TN 37027-7519

National Provider Directory

National Provider Directory

Locations

5123 Virginia Way
Ste B12
Brentwood, TN 37027
Phone (615) 221-8837

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1699288175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5123 VIRGINIA WAY STE B12",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 VIRGINIA WAY STE B12",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277519",
            "telephone_number": "615-221-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENTWOOD FAMILY DENTISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "HOMONNAY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-221-8837",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "10475",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS3961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; 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.