Organization Active NPI

Olive Branch Endodontics PLLC

  • Endodontics
  • Mount Juliet, TN
National Provider Identifier
1780492298
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
OLIVE BRANCH ENDODONTICS PLLC
Practice address
40 W Caldwell St Ste 203
Mt Juliet, TN 37122-3179
Phone
(615) 808-0027
NPI assigned
Dec 30, 2024
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Richard Joseph Horwat, OWNER/D.M.D.NPI 1124081997
Title
Endodontist
Phone
(615) 707-2090

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
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X Primary

Addresses

Primary practice location

40 W Caldwell St Ste 203
Mt Juliet, TN 37122-3179

Mailing address

40 W Caldwell St Ste 203
Mt Juliet, TN 37122-3179
Phone (615) 808-0027

Other identifiers 1

IdentifierTypeStateIssuer
1124081997OtherTNINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

40 W Caldwell St
Ste 203
Mt Juliet, TN 37122
Phone (615) 758-7668

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1780492298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST STE 203",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223179",
            "telephone_number": "615-808-0027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST STE 203",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223179",
            "telephone_number": "615-808-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH ENDODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "HORWAT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "615-707-2090",
        "authorized_official_credential": "OWNER/D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1124081997",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.