Dental Practice Group of Tennessee

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

DENTAL PRACTICE GROUP OF TENNESSEE

Doing business as

Brookhaven Family Dentistry

Practice address

775 E Brookhaven Cir
Memphis, TN 38117-4501

Phone

(901) 682-3100

Fax

(901) 682-9848

NPI assigned

Aug 16, 2012

Last updated

Mar 30, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTAL PRACTICE GROUP OF TENNESSEEAs reported in NPPES

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

Authorized official

Name

Nancy Schiaparelli

Title

Chief Financial Officer

Phone

(727) 800-8040

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Brookhaven Family Dentistry Doing business as

Part of

Dental Group of TN

Locations

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1891043204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 4TH ST N STE 201",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013889",
            "telephone_number": "727-800-8026",
            "fax_number": "727-304-3164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 E BROOKHAVEN CIR",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381174501",
            "telephone_number": "901-682-3100",
            "fax_number": "901-682-9848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL PRACTICE GROUP OF TENNESSEE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL PRACTICE GROUP OF TENNESSEE",
        "enumeration_date": "2012-08-16",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "SCHIAPARELLI",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "727-800-8040"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100178860",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q011942",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookhaven Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Brookhaven Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Customized Equipment (DME) in Memphis, TN
• Providers in Memphis, TN by specialty
• Customized Equipment (DME) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; 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.