NPIMap

Organization Active NPI

Blackman Grove Dental

  • Dentist
  • Murfreesboro, TN
National Provider Identifier
1851525216
Registry record updated May 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7855 Issued in TN
Legal business name
BLACKMAN GROVE DENTAL
Practice address
4183 Franklin Rd
Suite B5
Murfreesboro, TN 37128-4254
Phone
(615) 907-4746
Fax
(615) 907-4796
NPI assigned
May 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2009

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

Authorized official

Name
Dr. Brent Stuart Miller, DDS
Title
Owner/Doctor
Phone
(615) 907-4746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7855 TN Primary

Addresses

Primary practice location

4183 Franklin Rd
Suite B5
Murfreesboro, TN 37128-4254

Mailing address

4183 Franklin Rd
Suite B5
Murfreesboro, TN 37128-4254
Phone (615) 907-4746

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242172800000",
    "number": "1851525216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4183 FRANKLIN RD",
            "address_2": "SUITE B5",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284254",
            "telephone_number": "615-907-4746",
            "fax_number": "615-907-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4183 FRANKLIN RD",
            "address_2": "SUITE B5",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371284254",
            "telephone_number": "615-907-4746",
            "fax_number": "615-907-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACKMAN GROVE DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2009-05-13",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "STUART",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "615-907-4746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "7855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 13, 2009; 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.