NPIMap

Organization Active NPI

Mount Juliet Family Dentistry

  • Dentist
  • Mount Juliet, TN
National Provider Identifier
1902338809
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9932 Issued in TN
Legal business name
MOUNT JULIET FAMILY DENTISTRY
Practice address
66 E Hill Dr
Mount Juliet, TN 37122-8031
Phone
(615) 758-2085
NPI assigned
Mar 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Authorized official

Name
Dr. Bayan Ferdowsi, DDS
Title
Owner
Phone
(615) 758-2085

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 9932 TN Primary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X
Dental HygienistGroup: 193200000X MULTI-SPECIALTY GROUP 124Q00000X

Addresses

Primary practice location

66 E Hill Dr
Mount Juliet, TN 37122-8031

Mailing address

66 E Hill Dr
Mount Juliet, TN 37122-8031

Other names 1

  • Paradise Family Dentistry Other name

National Provider Directory

National Provider Directory
Tax ID family
Mount Juliet Family Dentistry2 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": "1490832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490832000000",
    "number": "1902338809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 E HILL DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 E HILL DR",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371228031",
            "telephone_number": "615-758-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT JULIET FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-30",
        "last_updated": "2017-03-30",
        "status": "A",
        "authorized_official_last_name": "FERDOWSI",
        "authorized_official_first_name": "BAYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-758-2085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "9932",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Family Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; 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.