Bryan Edward Mainhardt, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10814 Issued in TN

Practice address

125 Wendelwood Dr Ste B
Murfreesboro, TN 37129-3746

Phone

(615) 904-1585

NPI assigned

Jun 18, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Murfreesboro Smiles Dentistry, PC

  dba Murfreesboro Smiles Dentistry

  • Dentist
  • Murfreesboro, TN
  • NPI 1821549908
  NPD (past)

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529280000000",
    "number": "1700370228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 MEMORIAL BLVD APT B221",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371295424",
            "telephone_number": "931-538-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WENDELWOOD DR STE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371293746",
            "telephone_number": "615-904-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINHARDT",
        "first_name": "BRYAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "10814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasaman Mahin Aeen, PHARMD
• Karim Ahmed Ibrahim Mahmoud, M.D
• Elizabeth Danielle Mahon
• Lois Lippitt Maier, PT
• Lori Maignan
• Molly Maino, RBT
• Tifany Lyne Makuch, MSN, WHNP-BC
• Jessica Maldonado
• Mary Kaitlin Malick
• Muhammad Fayaz Malik, MD

• General Practice Dentistry in Murfreesboro, TN
• Providers in Murfreesboro, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.