Organization Active NPI

Karlene Guasteferro DDS of Tennessee PC

  • Dentist
  • Antioch, TN
National Provider Identifier
1790220861
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9935 Issued in TN
Legal business name
KARLENE GUASTEFERRO DDS OF TENNESSEE PC
Practice address
609 Bakertown Rd
Antioch, TN 37013-2657
Phone
(615) 601-5250
NPI assigned
Dec 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Dr. Karlene Guasteferro, DDS
Title
Managing Physician
Phone
(800) 397-6247

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X 9935 TN Primary

Addresses

Primary practice location

609 Bakertown Rd
Antioch, TN 37013-2657

Mailing address

609 Bakertown Rd
Antioch, TN 37013-2657
Phone (615) 601-5250

National Provider Directory

National Provider Directory

Locations

609 Bakertown Rd
Antioch, TN 37013
Phone (615) 601-5250

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1790220861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 BAKERTOWN RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132657",
            "telephone_number": "615-601-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 BAKERTOWN RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132657",
            "telephone_number": "615-601-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARLENE GUASTEFERRO DDS OF TENNESSEE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "GUASTEFERRO",
        "authorized_official_first_name": "KARLENE",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "800-397-6247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "9935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.