Active NPI
David R Cheatham, D.D.S., M.S.
- Pediatric Dentistry
- Clarksville, TN
National Provider Identifier
1942292370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DS4516
- Practice address
- 1754 Madison St
Suite 4
Clarksville, TN 37043-2923 - Phone
- (931) 647-0838
- Fax
- (931) 648-3840
- NPI assigned
- Aug 22, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DS4516 | TN | Primary |
Addresses
Primary practice location
1754 Madison St
Suite 4
Clarksville, TN 37043-2923
Mailing address
1754 Madison St
Suite 4
Clarksville, TN 37043-2923
Phone (931) 647-0838
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0123261 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3225441 | Medicaid | TN |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS4516 | TN | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Dave L. Hippensteel DMD, PC | Past | Accepting new patients | |
| QC Dental PLLC | Past | Accepting new patients |
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
- Clarksville, TN
- NPI 1720477466
-
- General Practice Dentistry
- Clarksville, TN
- NPI 1225862410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942292370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1754 MADISON ST",
"address_2": "SUITE 4",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432923",
"telephone_number": "931-647-0838",
"fax_number": "931-648-3840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1754 MADISON ST",
"address_2": "SUITE 4",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432923",
"telephone_number": "931-647-0838",
"fax_number": "931-648-3840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "DAVID",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TN",
"license": "DS4516",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0123261",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3225441",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.