Active NPI
Raven Julia Anderson
- Dentist
- Dickson, TN
National Provider Identifier
1801406186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11384
- Practice address
- 445 TN-46 S
Dickson, TN 37055 - Phone
- (615) 375-3060
- NPI assigned
- Aug 3, 2020
- Last updated
- Jul 12, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 11384 | TN | Primary |
Addresses
Primary practice location
445 TN-46 S
Dickson, TN 37055
Mailing address
445 Highway 46 S
Dickson, TN 37055-2545
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11384 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| S&W Dental PLLC | Current | Accepting new patients | |
| Rivergate Dental Group, PC | Current | Accepting new patients | |
| DDW and Associates, PLLC | Past | Accepting new patients |
Locations
445 Highway 46 S
Dickson, TN 37055
Phone (615) 375-3060
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Goodlettsville, TN
- NPI 1902570476
-
- General Practice Dentistry
- Dickson, TN
- NPI 1174214787
-
- General Practice Dentistry
- Dickson, TN
- NPI 1811430358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1801406186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "445 HIGHWAY 46 S",
"city": "DICKSON",
"state": "TN",
"postal_code": "370552545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "445 TN-46 S",
"city": "DICKSON",
"state": "TN",
"postal_code": "37055",
"telephone_number": "615-375-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RAVEN",
"middle_name": "JULIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "11384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickson, TN
- Stephen Grant Allen, O.D.
- Karen Alonzo
- Mohammad A Alsoub, MD
- Mandy Lea Alvarado
- Alisha J. Anderson, RN
- Anesthesia Services Associates, PLLC
- Ankle and Foot Centers of Nashville, PLLC
- Anthony B. Harlow, D.C. P.C.
- Applegate Health Services of Tennessee, Inc (AppleGate Recovery Dickson)
- Cynthia Parizek Arnold, RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.