Active NPI
David Michael Fesmire, DDS
- General Practice Dentistry
- Madison, TN
National Provider Identifier
1912437906
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10552
- Practice address
- 106 Cude LN
Madison, TN 37115-2202 - Phone
- (615) 865-1733
- Fax
- (615) 860-7585
- NPI assigned
- Jun 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10552 | TN | Primary |
Addresses
Primary practice location
106 Cude LN
Madison, TN 37115-2202
Mailing address
106 Cude LN
Madison, TN 37115-2202
Phone (615) 865-1733
Other practice location 1
200 Rivergate Pkwy
Goodlettsville, TN 37072-2033
Phone (615) 859-3386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10552 | TN | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fesmire Dental PLLC | General Practice | Current | Accepting new patients |
| Griffin Family Dental LLC | General Practice | Past | Accepting new patients |
Locations
106 Cude Ln
Madison, TN 37115
Phone (615) 598-8660
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Madison, TN
- NPI 1154180073
-
- General Practice Dentistry
- Goodlettsville, TN
- NPI 1124427869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577404800000",
"number": "1912437906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CUDE LN",
"city": "MADISON",
"state": "TN",
"postal_code": "371152202",
"telephone_number": "615-865-1733",
"fax_number": "615-860-7585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CUDE LN",
"city": "MADISON",
"state": "TN",
"postal_code": "371152202",
"telephone_number": "615-865-1733",
"fax_number": "615-860-7585"
}
],
"practiceLocations": [
{
"address_1": "200 Rivergate Pkwy",
"address_purpose": "LOCATION",
"city": "Goodlettsville",
"state": "TN",
"postal_code": "370722033",
"country_code": "US",
"telephone_number": "615-859-3386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FESMIRE",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-13",
"last_updated": "2019-12-27",
"certification_date": "2019-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.