Individual provider Active NPI

Stephen D Poss, DDS

  • General Practice Dentistry
  • Brentwood, TN
National Provider Identifier
1871753400
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS004132 Issued in TN
Practice address
1177 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4244
Phone
(158) 508-4456
Fax
(615) 535-9992
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS004132 TN Primary

Addresses

Primary practice location

1177 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4244

Mailing address

1177 Old Hickory Blvd Ste 203
Brentwood, TN 37027-4244
Phone (615) 850-8445

Other practice location 1

1605 Medical Center Pkwy Ste 205
Murfreesboro, TN 37129-2244
Phone (615) 527-8080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100510000020 TN Practitioner - Dentist 1052449246 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS004132TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Poss Dental Designs PC CurrentSince Jul 1, 2014 Accepting new patients

Locations

1646 Westgate Cir
Ste 100
Brentwood, TN 37027
Phone (615) 373-1056

1177 Old Hickory Blvd
Ste 203
Brentwood, TN 37027
Phone (615) 850-8445

1605 Medical Center Pkwy
Ste 205
Murfreesboro, TN 37129
Phone (615) 527-8080

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1871753400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1177 OLD HICKORY BLVD STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274244",
            "telephone_number": "615-850-8445",
            "fax_number": "615-535-9992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1177 OLD HICKORY BLVD STE 203",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274244",
            "telephone_number": "158-508-4456",
            "fax_number": "615-535-9992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 Medical Center Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371292244",
            "country_code": "US",
            "telephone_number": "615-527-8080",
            "fax_number": "615-285-6766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POSS",
        "first_name": "STEPHEN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS004132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.