Individual provider Active NPI

Lauren Ellis Poole, DMD

  • Dentist
  • Brentwood, TN
National Provider Identifier
1790165819
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
10038 Issued in TN
Practice address
5055 Maryland Way Ste 202
Brentwood, TN 37027-7664
Phone
(615) 600-4830
NPI assigned
Jun 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10038 TN Primary

Addresses

Primary practice location

5055 Maryland Way Ste 202
Brentwood, TN 37027-7664

Mailing address

5055 Maryland Way Ste 202
Brentwood, TN 37027-7664
Phone (828) 242-8698

Other names 1

  • Dr. Lauren Ellis Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Laurn Poole DMD Dentist CurrentSince May 16, 2022 Accepting new patients
Sweet Truth East PLLC Current Accepting new patients
Professional Dental Alliance of Tennessee, PLLC PastSince Aug 6, 2023 Accepting new patients
Professional Dental Alliance of Crossville, PLLC PastSince Sep 8, 2025 Accepting new patients

Locations

5055 Maryland Way
Ste 202
Brentwood, TN 37027
Phone (615) 600-4830

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1433289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650412800000",
    "number": "1790165819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5055 MARYLAND WAY STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277664",
            "telephone_number": "828-242-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5055 MARYLAND WAY STE 202",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277664",
            "telephone_number": "615-600-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "LAUREN",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-03",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "10038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ELLIS",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.