Organization Active NPI

Gateway Family Dentistry Sedation and Implant PLLC

  • General Practice Dentistry
  • Murfreesboro, TN
National Provider Identifier
1871052886
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GATEWAY FAMILY DENTISTRY SEDATION AND IMPLANT PLLC
Practice address
413 N Thompson LN
Murfreesboro, TN 37129-4311
Phone
(615) 962-8505
NPI assigned
Mar 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Chris Erwin
Title
Business Manager
Phone
(615) 962-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

413 N Thompson LN
Murfreesboro, TN 37129-4311

Mailing address

413 N Thompson LN
Murfreesboro, TN 37129-4311
Phone (615) 962-8505

Other identifiers 1

IdentifierTypeStateIssuer
10359OtherTNTBOD

National Provider Directory

National Provider Directory
Tax ID family
Gateway Family Dentistry Sedation and Implant PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

413 N Thompson Ln
Murfreesboro, TN 37129
Phone (615) 962-8505

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

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": "1552953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1871052886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294311",
            "telephone_number": "615-962-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 N THOMPSON LN",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371294311",
            "telephone_number": "615-962-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY FAMILY DENTISTRY SEDATION AND IMPLANT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-19",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "ERWIN",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "615-962-8505"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBOD",
            "identifier": "10359",
            "state": "TN"
        }
    ],
    "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 Nov 15, 2021; 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.