Organization Active NPI

Hancock Dentistry, PLLC

  • Dentist
  • Nashville, TN
National Provider Identifier
1871151282
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
HANCOCK DENTISTRY, PLLC
Practice address
3829 Cleghorn Ave
Nashville, TN 37215-2507
Phone
(615) 383-0132
Fax
(615) 383-0132
NPI assigned
May 31, 2019
Organization subpart
Yes
Parent organization
HANCOCK DENTISTRY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Authorized official

Name
Lindsay Hill, RDA
Title
Front Office
Phone
(615) 383-0132

Specialties & licenses 1

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

Addresses

Primary practice location

3829 Cleghorn Ave
Nashville, TN 37215-2507

Mailing address

3829 Cleghorn Ave
Nashville, TN 37215-2507
Phone (615) 383-0132

Other identifiers 2

IdentifierTypeStateIssuer
1427547769MedicaidGA
1669489043MedicaidGA

National Provider Directory

National Provider Directory
Part of
Hancock Dentistry PLLC

Locations

3829 Cleghorn Ave
Nashville, TN 37215
Phone (615) 352-4598

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": "1559260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1871151282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 CLEGHORN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152507",
            "telephone_number": "615-383-0132",
            "fax_number": "615-383-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 CLEGHORN AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152507",
            "telephone_number": "615-383-0132",
            "fax_number": "615-383-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANCOCK DENTISTRY, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HANCOCK DENTISTRY, PLLC",
        "enumeration_date": "2019-05-31",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "615-383-0132",
        "authorized_official_credential": "RDA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427547769",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669489043",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.

Verify at the official NPI Registry.