Individual provider Active NPI

David R Cheatham, D.D.S., M.S.

  • Pediatric Dentistry
  • Clarksville, TN
National Provider Identifier
1942292370
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS4516 Issued in TN
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0123261OtherTNBLUE CROSS BLUE SHIELD
3225441MedicaidTN

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

LicenseStateTypeSpecialty
DS4516TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Dave L. Hippensteel DMD, PC Past Accepting new patients
QC Dental PLLC PastSince Sep 1, 2024 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.

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.

Verify at the official NPI Registry.