Organization Active NPI

Contemporary Dental Cosmetic & Family Dentistry

  • Dental Clinic/Center
  • Antioch, TN
National Provider Identifier
1831362516
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DS 8159 Issued in TN
Legal business name
CONTEMPORARY DENTAL COSMETIC & FAMILY DENTISTRY
Practice address
Richards Rd
Suite 103
Antioch, TN 37013
Phone
(615) 866-9109
Fax
(615) 866-9147
NPI assigned
Apr 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Dr. Derrick Reid, D.D.S.
Title
Dentist
Phone
(615) 866-9109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DS 8159 TN Primary

Addresses

Primary practice location

Richards Rd
Suite 103
Antioch, TN 37013

Mailing address

940 Richards Rd
Suite 103
Antioch, TN 37013-3288
Phone (615) 866-9109

National Provider Directory

National Provider Directory

Locations

940 Richards Rd
Ste 103
Antioch, TN 37013
Phone (615) 333-6616

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": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1831362516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 RICHARDS RD",
            "address_2": "SUITE 103",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370133288",
            "telephone_number": "615-866-9109",
            "fax_number": "615-866-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RICHARDS RD",
            "address_2": "SUITE 103",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "37013",
            "telephone_number": "615-866-9109",
            "fax_number": "615-866-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY DENTAL COSMETIC & FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-866-9109",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "TN",
            "license": "DS 8159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antioch, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.