Organization Active NPI

Noesis Dental PLLC

  • General Practice Dentistry
  • Brentwood, TN
National Provider Identifier
1912417049
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8142 Issued in TN
Legal business name
NOESIS DENTAL PLLC
Practice address
1195 Old Hickory Blvd Ste 205
Brentwood, TN 37027-4239
Phone
(615) 331-1111
Fax
(615) 333-0200
NPI assigned
Oct 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Edwina Collins, DDSNPI 1891806253
Title
Owner
Phone
(615) 331-1111

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8142 TN Primary

Addresses

Primary practice location

1195 Old Hickory Blvd Ste 205
Brentwood, TN 37027-4239

Mailing address

1195 Old Hickory Blvd Ste 205
Brentwood, TN 37027-4239
Phone (615) 331-1111

Other identifiers 1

IdentifierTypeStateIssuer
1891806253OtherTNTYPE 1 NPI

National Provider Directory

National Provider Directory

Locations

1195 Old Hickory Blvd
Ste 205
Brentwood, TN 37027
Phone (615) 331-1111

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1506988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1912417049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 205",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-331-1111",
            "fax_number": "615-333-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 OLD HICKORY BLVD STE 205",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274239",
            "telephone_number": "615-331-1111",
            "fax_number": "615-333-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOESIS DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-03",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "EDWINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-331-1111",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1891806253",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.