NPIMap

Organization Active NPI

Antioch Dental PLLC

Doing business as mid TN dentistry

  • Dentist
  • Antioch, TN
National Provider Identifier
1871905604
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ANTIOCH DENTAL PLLC
Doing business as
mid TN dentistry
Practice address
616 Bell Rd
Antioch, TN 37013-2141
Phone
(615) 208-5432
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Mr. Danny Northcutt Jr.
Title
Manager
Phone
(615) 310-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X TN Primary

Addresses

Primary practice location

616 Bell Rd
Antioch, TN 37013-2141

Mailing address

405 Wild Elm St
Franklin, TN 37064-8650

Other names 1

  • mid TN dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Antioch Dental2 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.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1871905604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 WILD ELM ST",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 BELL RD",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370132141",
            "telephone_number": "615-208-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTIOCH DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "NORTHCUTT",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "615-310-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mid TN dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 28, 2014; 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.