NPIMap

Organization Active NPI

Tennessee Dental Professionals PC

Doing business as Blackman Family Dental

  • General Practice Dentistry
  • Murfreesboro, TN
National Provider Identifier
1821219023
Registry record updated Sep 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TENNESSEE DENTAL PROFESSIONALS PC
Doing business as
Blackman Family Dental
Practice address
2812 Old Fort Pkwy
Suite B
Murfreesboro, TN 37128-4265
Phone
(615) 896-9322
Fax
(615) 896-2122
NPI assigned
May 2, 2007
Last updated
Sep 17, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
TENNESSEE DENTAL PROFESSIONALS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 17, 2014

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

Authorized official

Name
Amy Kroeger
Title
Ins Cood
Phone
(217) 540-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X NU Primary

Addresses

Primary practice location

2812 Old Fort Pkwy
Suite B
Murfreesboro, TN 37128-4265

Mailing address

2812 Old Fort Pkwy
Suite B
Murfreesboro, TN 37128-4265
Phone (615) 896-9322

Other names 1

  • Blackman Family Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Heartland Dental Care of TN PC66 organizations share this tax ID, including this one
Part of
Heartland Dental Care of TN PC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

2812 Old Fort Pkwy
Ste B
Murfreesboro, TN 37128
Phone (615) 896-9322

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410912000000",
    "number": "1821219023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 OLD FORT PKWY",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284265",
            "telephone_number": "615-896-9322",
            "fax_number": "615-896-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 OLD FORT PKWY",
            "address_2": "SUITE B",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284265",
            "telephone_number": "615-896-9322",
            "fax_number": "615-896-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE DENTAL PROFESSIONALS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE DENTAL PROFESSIONALS PC",
        "enumeration_date": "2007-05-02",
        "last_updated": "2014-09-17",
        "status": "A",
        "authorized_official_last_name": "KROEGER",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "INS COOD",
        "authorized_official_telephone_number": "217-540-5100"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blackman Family Dental",
            "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 Sep 17, 2014; 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.