NPIMap

Organization Active NPI

Creative Dentistry P.C.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1881865509
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4670 Issued in TN
Legal business name
CREATIVE DENTISTRY P.C.
Practice address
113 23Rd Ave N
Nashville, TN 37203-1701
Phone
(615) 321-0922
Fax
(615) 329-9343
NPI assigned
Mar 20, 2008
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Dr. Juanita Andre Rouse, DDSNPI 1669461844
Title
Owner/ Dentist
Phone
(615) 321-0922

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4670 TN Primary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4464 TN

Addresses

Primary practice location

113 23Rd Ave N
Nashville, TN 37203-1701

Mailing address

113 23Rd Ave N
Nashville, TN 37203-1701
Phone (615) 321-0922

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1881865509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031701",
            "telephone_number": "615-321-0922",
            "fax_number": "615-329-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 23RD AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031701",
            "telephone_number": "615-321-0922",
            "fax_number": "615-329-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE DENTISTRY P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "ROUSE",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER/ DENTIST",
        "authorized_official_telephone_number": "615-321-0922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "4670",
            "primary": true
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TN",
            "license": "4464",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 24, 2008; 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.