Organization Active NPI

Nothside Dental Center, PA

  • General Practice Dentistry
  • Jackson, TN
National Provider Identifier
1700851979
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
NOTHSIDE DENTAL CENTER, PA
Practice address
3067 N Highland Ave
Jackson, TN 38305-3411
Phone
(731) 668-7916
Fax
(731) 668-9544
NPI assigned
Feb 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Frank H Hampson, D.D.S.NPI 1700965829
Title
Secretary/Treasurer
Phone
(731) 668-7916

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
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3067 N Highland Ave
Jackson, TN 38305-3411

Mailing address

3067 N Highland Ave
Jackson, TN 38305-3411
Phone (731) 668-7916

Other identifiers 1

IdentifierTypeStateIssuer
0149768OtherTNBLUE CROSS BLUE SHIELD TN

National Provider Directory

National Provider Directory

Locations

3067 N Highland Ave
Jackson, TN 38305
Phone (731) 668-7916

Practitioners & affiliated clinicians

Practitioners 5

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": "1140480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1700851979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3067 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053411",
            "telephone_number": "731-668-7916",
            "fax_number": "731-668-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3067 N HIGHLAND AVE",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053411",
            "telephone_number": "731-668-7916",
            "fax_number": "731-668-9544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTHSIDE DENTAL CENTER, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-21",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "HAMPSON",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "731-668-7916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "0149768",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.