Individual provider Active NPI

Brandon Sims, DDS

  • Dentist
  • Clarksville, TN
National Provider Identifier
1932237849
Registry record updated Jan 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8896 Issued in TN
Practice address
220 Hillcrest Dr
Clarksville, TN 37043-6540
Phone
(931) 552-2582
Fax
(931) 551-8615
NPI assigned
Mar 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8896 TN Primary

Addresses

Primary practice location

220 Hillcrest Dr
Clarksville, TN 37043-6540

Mailing address

220 Hillcrest Dr
Clarksville, TN 37043-6540
Phone (931) 552-2582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810000428 TN Order and Referring Only - DentistPractitioner - Dentist 8921312695

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8896TNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Caprock Dental PLLC CurrentSince Jan 22, 2023 Accepting new patients
Lakeside Smiles PLLC CurrentSince Jul 23, 2023 Accepting new patients
Affordable Dentistry Today, PC Past Accepting new patients
Hillcrest Dental Associates, PC PastSince Jan 22, 2023 Accepting new patients

Locations

220 Hillcrest Dr
Clarksville, TN 37043
Phone (931) 240-5721

107 Imperial Blvd
Ste 12
Hendersonville, TN 37075
Phone (615) 274-1728

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1932237849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HILLCREST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436540",
            "telephone_number": "931-552-2582",
            "fax_number": "931-551-8615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HILLCREST DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370436540",
            "telephone_number": "931-552-2582",
            "fax_number": "931-551-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMS",
        "first_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-01",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "8896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.