Organization Active NPI

Murfreesboro Family Dentistry

  • Dental Clinic/Center
  • Murfreesboro, TN
National Provider Identifier
1699438341
Registry record updated Oct 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MURFREESBORO FAMILY DENTISTRY
Practice address
2805 Old Fort Pkwy Ste F
Murfreesboro, TN 37128-5116
Phone
(615) 904-1700
Fax
(615) 904-1700
NPI assigned
Oct 20, 2021
Last updated
Oct 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2021

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

Authorized official

Name
Elizabeth Jackson, DMDNPI 1801095898
Title
Owner
Phone
(615) 904-1700

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

2805 Old Fort Pkwy Ste F
Murfreesboro, TN 37128-5116

Mailing address

2805 Old Fort Pkwy Ste F
Murfreesboro, TN 37128-5116
Phone (615) 904-1700

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL info@murfreesborofamilydentistry.com

National Provider Directory

National Provider Directory

Locations

2805 Old Fort Pkwy
Ste F
Murfreesboro, TN 37128
Phone (615) 904-1700

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1699438341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285116",
            "telephone_number": "615-904-1700",
            "fax_number": "615-904-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY STE F",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285116",
            "telephone_number": "615-904-1700",
            "fax_number": "615-904-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURFREESBORO FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-904-1700",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@murfreesborofamilydentistry.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "2805 Old Fort Pkwy Ste F",
            "city": "Murfreesboro",
            "state": "TN",
            "country_code": "US",
            "postal_code": "371285116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 20, 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.