VB Tennessee I PLLC

Key facts

NPI

1720575012

Entity type

Organization (NPI type 2)

Primary specialty

Pediatric Dentistry 1223P0221X

Legal business name

VB TENNESSEE I PLLC

Practice address

2027 Thornton Dr
Dickson, TX 37055

Phone

(615) 678-0759

NPI assigned

Apr 23, 2018

Organization subpart

No

Authorized official

Name

Dr. Sabin K Ewing, DDS

Title

Owner

Phone

(615) 678-0759

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 23, 2018.

{
    "created_epoch": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1720575012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 CHURCH ST STE 1400",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372192214",
            "telephone_number": "615-678-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 THORNTON DR",
            "city": "DICKSON",
            "state": "TX",
            "postal_code": "37055",
            "telephone_number": "615-678-0759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VB TENNESSEE I PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "SABIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-678-0759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}