Active NPI
Nothside Dental Center, PA
- General Practice Dentistry
- Jackson, TN
National Provider Identifier
1700851979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0149768 | Other | TN | BLUE CROSS BLUE SHIELD TN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- General Practice Dentistry
- Jackson, TN
- NPI 1700965829
-
- Dentist
- Jackson, TN
- NPI 1972277226
-
- Dentist
- Jackson, TN
- NPI 1205912219
-
- Dental Hygienist
- Jackson, TN
- NPI 1942082144
-
- Dentist
- Jackson, TN
- NPI 1407962616
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.