Organization Active NPI

Goodlettsville Dental Care, PLLC

  • Dental Clinic/Center
  • Goodlettsville, TN
National Provider Identifier
1780172072
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
GOODLETTSVILLE DENTAL CARE, PLLC
Practice address
3050 Business Park Cir Ste 100
Goodlettsville, TN 37072-3659
Phone
(615) 859-0188
Fax
(615) 851-1204
NPI assigned
Apr 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Dr. Victor Clarence Beck Jr., DDS
Title
Owner
Phone
(615) 859-0188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

3050 Business Park Cir Ste 100
Goodlettsville, TN 37072-3659

Mailing address

3050 Business Park Cir Ste 100
Goodlettsville, TN 37072-3659
Phone (615) 859-0188

National Provider Directory

National Provider Directory

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": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1780172072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723659",
            "telephone_number": "615-859-0188",
            "fax_number": "615-851-1204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 BUSINESS PARK CIR STE 100",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723659",
            "telephone_number": "615-859-0188",
            "fax_number": "615-851-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODLETTSVILLE DENTAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-859-0188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodlettsville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.