Active NPI
Dawn Eilenne Fleming, D.D.S.
- Dentist
- Lavergne, TN
National Provider Identifier
1821140468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10659
- Practice address
- 6001 Jackson Square Blvd., Ste. 1001
Lavergne, TN 37086 - Phone
- (615) 280-2667
- Fax
- (517) 882-5808
- NPI assigned
- Jan 16, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901016071 | MI | |
| Dentist | 122300000X | 10659 | TN | Primary |
Addresses
Primary practice location
6001 Jackson Square Blvd., Ste. 1001
Lavergne, TN 37086
Mailing address
710 Riata CT.
Smyrna, TN 37167
Phone (517) 303-1777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4445960 | Medicaid | MI |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Vergne Dental Associates, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- La Vergne, TN
- NPI 1356954838
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": "1557964800000",
"number": "1821140468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 RIATA CT.",
"city": "SMYRNA",
"state": "TN",
"postal_code": "37167",
"telephone_number": "517-303-1777",
"fax_number": "517-882-5808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 JACKSON SQUARE BLVD., STE. 1001",
"city": "LAVERGNE",
"state": "TN",
"postal_code": "37086",
"telephone_number": "615-280-2667",
"fax_number": "517-882-5808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEMING",
"first_name": "DAWN",
"middle_name": "EILENNE",
"name_prefix": "Ms.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2019-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901016071",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10659",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4445960",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lavergne, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.