Individual provider Active NPI

Brent M Songstad, D.D.S.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1801947718
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
BS7533 Issued in TN
Practice address
3819 Cleghorn Ave
Nashville, TN 37215-2507
Phone
(615) 383-2242
Fax
(615) 383-9738
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X BS7533 TN Primary

Addresses

Primary practice location

3819 Cleghorn Ave
Nashville, TN 37215-2507

Mailing address

3819 Cleghorn Ave
Nashville, TN 37215-2507
Phone (615) 383-2242

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

LicenseStateTypeSpecialty
BS7533TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Brent M Songstad DDS of Nashville PC Past Accepting new patients
Tennessee Dental Professionals, PC General Practice PastSince Dec 13, 2020 Accepting new patients

Organizations & group practices 2

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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801947718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3819 CLEGHORN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152507",
            "telephone_number": "615-383-2242",
            "fax_number": "615-383-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3819 CLEGHORN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152507",
            "telephone_number": "615-383-2242",
            "fax_number": "615-383-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGSTAD",
        "first_name": "BRENT",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "BS7533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.