Castle Mid South Dental Center PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5344 Issued in TN

Legal business name

CASTLE MID SOUTH DENTAL CENTER PC

Practice address

305 Indian Lake Blvd Ste B260
Hendersonville, TN 37075-6376

Phone

(615) 238-6730

NPI assigned

Feb 11, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Mathis, DDS

Title

Owner

Phone

(615) 238-6730

Specialties & licenses 1

Addresses

Other names 1

• Bright Now Dental Hendersonville Doing business as

Tax ID family

Bright Now Dental Hendersonville2 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.

• Castle Mid-South Dental Centers

  • General Practice Dentistry
  • Franklin, TN
  • NPI 1417023599
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sarah Elamin, DDS

  • Dentist
  • Hendersonville, TN
  • NPI 1912604349
  NPD (past)
• Kimi Lynn Andaya, DMD

  • General Practice Dentistry
  • Denver, CO
  • NPI 1639362163
  NPD (past)

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

{
    "created_epoch": "1423612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1902297039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8415 DATAPOINT DR STE 1020",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293277",
            "telephone_number": "615-238-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 INDIAN LAKE BLVD STE B260",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756376",
            "telephone_number": "615-238-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASTLE MID SOUTH DENTAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-11",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "MATHIS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-238-6730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Now Dental Hendersonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kevin Cornelius Carter, DC
• Laynie Carter, RBT
• Stefanie G. Carter, FNP
• Ronald Thomas Cartmell, MA,BS,RN
• James Patrick Casey, LADAC II, QCS
• Martina Marie Catedral
• Helen R Cavasin, MD
• Stacy Cavegn
• Emily Cecil, MD
• Amanda Mahala Ceri, PHARMD

• General Practice Dentistry in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.