Dental Specialty Education, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DENTAL SPECIALTY EDUCATION, INC.

Practice address

6509 Highway 41a
Suite a
Pleasant View, TN 37146-7170

Phone

(615) 247-7100

Fax

(615) 247-7052

NPI assigned

Jan 11, 2016

Last updated

Mar 7, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sabin Kane Ewing, DDS

Title

Clinical Dental Director of School

Phone

(615) 256-7543

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Dental Specialty Education, Inc.- Pleasant View Other name

Tax ID family

Dental Specialty Education Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dental Specialty Education, Inc

  • Pediatric Dentistry
  • Nashville, TN
  • NPI 1043603996
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488844800000",
    "number": "1740646439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 HIGHWAY 41A",
            "address_2": "SUITE A",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467170",
            "telephone_number": "615-247-7100",
            "fax_number": "615-247-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 HIGHWAY 41A",
            "address_2": "SUITE A",
            "city": "PLEASANT VIEW",
            "state": "TN",
            "postal_code": "371467170",
            "telephone_number": "615-247-7100",
            "fax_number": "615-247-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SPECIALTY EDUCATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2017-03-07",
        "status": "A",
        "authorized_official_last_name": "EWING",
        "authorized_official_first_name": "SABIN",
        "authorized_official_middle_name": "KANE",
        "authorized_official_title_or_position": "CLINICAL DENTAL DIRECTOR OF SCHOOL",
        "authorized_official_telephone_number": "615-256-7543",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DDS 7907",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q012250",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Specialty Education, Inc.- Pleasant View",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Crossroads Medical Group, PLLC
• Crossroads Medical Group, PLLC
• Jill Cutright, FNP
• Casey A Davis, DPT
• Hailey Day
• Emili Devine
• Vadim J Drake, DPT
• Tatiana Dupree
• Charna Green Evans, MSN, ACNP, NC-P
• Joann A Ferland, APRN, BC

• Pediatric Dentistry in Pleasant View, TN
• Providers in Pleasant View, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.