Organization Active NPI

Madison Family Dental, LLC

  • General Practice Dentistry
  • Madison, TN
National Provider Identifier
1720325335
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8971 Issued in TN
Legal business name
MADISON FAMILY DENTAL, LLC
Practice address
231 W Old Hickory Blvd
Suite a
Madison, TN 37115-3664
Phone
(615) 865-5750
Fax
(615) 868-8638
NPI assigned
Jan 16, 2013
Last updated
Jan 16, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Authorized official

Name
Dr. Rajan Kshatri, D.D.S.NPI 1023252939
Title
Owner
Phone
(901) 581-2233

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 Dentistry 1223G0001X 8971 TN Primary

Addresses

Primary practice location

231 W Old Hickory Blvd
Suite a
Madison, TN 37115-3664

Mailing address

231 W Old Hickory Blvd
Suite a
Madison, TN 37115-3664
Phone (615) 865-5750

National Provider Directory

National Provider Directory

Locations

231 W Old Hickory Blvd
#A
Madison, TN 37115
Phone (615) 865-5750

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": "1358294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1720325335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 W OLD HICKORY BLVD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153664",
            "telephone_number": "615-865-5750",
            "fax_number": "615-868-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W OLD HICKORY BLVD",
            "address_2": "SUITE A",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371153664",
            "telephone_number": "615-865-5750",
            "fax_number": "615-868-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON FAMILY DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-16",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "KSHATRI",
        "authorized_official_first_name": "RAJAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-581-2233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.