NPIMap

Organization Active NPI

Firefly Pediatric Dentistry PLLC

  • Pediatric Dentistry
  • Franklin, TN
National Provider Identifier
1942846795
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
FIREFLY PEDIATRIC DENTISTRY PLLC
Practice address
3000 Stansberry LN Ste 105
Franklin, TN 37069-5125
Phone
(615) 236-9150
Fax
(615) 236-9171
NPI assigned
Nov 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Authorized official

Name
Dr. Justin Michael Chafin, DMDNPI 1134509961
Title
Owner
Phone
(615) 236-9150

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary
Dental Clinic/Center 261QD0000X

Addresses

Primary practice location

3000 Stansberry LN Ste 105
Franklin, TN 37069-5125

Mailing address

3000 Stansberry LN Ste 105
Franklin, TN 37069-5125
Phone (615) 236-9150

Other identifiers 1

IdentifierTypeStateIssuer
Q029880MedicaidTN

National Provider Directory

National Provider Directory

Locations

3000 Stansberry Ln
Ste 105
Franklin, TN 37069
Phone (615) 236-9150

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1942846795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 STANSBERRY LN STE 105",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370695125",
            "telephone_number": "615-236-9150",
            "fax_number": "615-236-9171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 STANSBERRY LN STE 105",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370695125",
            "telephone_number": "615-236-9150",
            "fax_number": "615-236-9171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIREFLY PEDIATRIC DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "CHAFIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-236-9150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q029880",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.