Organization Active NPI

Dr. Dave L. Hippensteel DMD, PC

  • General Practice Dentistry
  • Clarksville, TN
National Provider Identifier
1720477466
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS8197 Issued in TN
Legal business name
DR. DAVE L. HIPPENSTEEL DMD, PC
Practice address
1754 Madison St
Suite 4
Clarksville, TN 37043-2923
Phone
(931) 647-0838
NPI assigned
Jan 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Authorized official

Name
Dr. Dave Leslie Hippensteel, DMD
Title
Owner
Phone
(215) 272-9621

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS8197 TN Primary

Addresses

Primary practice location

1754 Madison St
Suite 4
Clarksville, TN 37043-2923

Mailing address

4849 Thomasville Rd
Chapmansboro, TN 37035-5005
Phone (215) 272-9621

Other identifiers 1

IdentifierTypeStateIssuer
1223G0001XOtherTNTAXONOMY

National Provider Directory

National Provider Directory

Locations

1754 Madison St
Ste 4
Clarksville, TN 37043
Phone (931) 647-0838

Practitioners & affiliated clinicians

Practitioners 1

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": "1421625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421625600000",
    "number": "1720477466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4849 THOMASVILLE RD",
            "city": "CHAPMANSBORO",
            "state": "TN",
            "postal_code": "370355005",
            "telephone_number": "215-272-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1754 MADISON ST",
            "address_2": "SUITE 4",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432923",
            "telephone_number": "931-647-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DAVE L. HIPPENSTEEL DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-19",
        "last_updated": "2015-01-19",
        "status": "A",
        "authorized_official_last_name": "HIPPENSTEEL",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-272-9621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS8197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "1223G0001X",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2015; 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.