Tibbs Family Dentistry, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

TIBBS FAMILY DENTISTRY, PLLC

Practice address

5114 Old Hickory Blvd Ste 200
Hermitage, TN 37076-2590

Phone

(615) 540-0556

NPI assigned

Oct 8, 2019

Organization subpart

No

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

Authorized official

Name

Jeremy TibbsNPI 1720242571

Title

Owner

Phone

(615) 540-0556

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeremy Tibbs, D.D.S

  • Dentist
  • Goodlettsville, TN
  • NPI 1720242571
  NPD (past) Authorized official

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570492800000",
    "number": "1790326072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 THORN HILL CT",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370759613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5114 OLD HICKORY BLVD STE 200",
            "city": "HERMITAGE",
            "state": "TN",
            "postal_code": "370762590",
            "telephone_number": "615-540-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIBBS FAMILY DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2019-10-08",
        "status": "A",
        "authorized_official_last_name": "TIBBS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-540-0556"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1532725",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Clarke Thompson
• Harold Delane Thompson Jr., MD
• Jean Thompson, BCBA
• Laura Thompson, DMD
• Rhonda Lou Thompson, APN
• Tif W Siragusa (Vein & Vascular Center of Nashville PLLC)
• Kiana Michelle Tisdale, PHARM.D.
• Tod R Bushman DPM PC (Diabetic Foot Center)
• Robert David Todd, MD
• Irina Tollerson

• General Practice Dentistry in Hermitage, TN
• Providers in Hermitage, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2019; 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.