Organization Active NPI

Apc Dentistry

  • Pediatric Dentistry
  • Murfreesboro, TN
National Provider Identifier
1801329917
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7891 Issued in TN
Legal business name
APC DENTISTRY
Practice address
2805 Old Fort Pkwy
Murfreesboro, TN 37128-5115
Phone
(615) 987-0505
NPI assigned
Apr 5, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Amy Roeder, DDSNPI 1639386394
Title
President/Dentist
Phone
(615) 414-5994

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
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 7891 TN Primary

Addresses

Primary practice location

2805 Old Fort Pkwy
Murfreesboro, TN 37128-5115

Mailing address

2805 Old Fort Pkwy
Suite a
Murfreesboro, TN 37128-5115
Phone (615) 987-0505

Other identifiers 1

IdentifierTypeStateIssuer
1526301MedicaidTN

Other names 1

  • Dr. Amy Pediatric Dentistry Doing business as

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": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1801329917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY",
            "address_2": "SUITE A",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285115",
            "telephone_number": "615-987-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 OLD FORT PKWY",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371285115",
            "telephone_number": "615-987-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "ROEDER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "615-414-5994",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "7891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1526301",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Amy Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.