Active NPI
Noesis Dental PLLC
- General Practice Dentistry
- Brentwood, TN
National Provider Identifier
1912417049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8142
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Edwina Collins, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891806253 | Other | TN | TYPE 1 NPI |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Dentist
- Brentwood, TN
- NPI 1891806253
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.