NPIMap

Organization Active NPI

Bartlett Pediatric Dentistry

  • Pediatric Dentistry
  • Bartlett, TN
National Provider Identifier
1952425282
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS2722 Issued in TN
Legal business name
BARTLETT PEDIATRIC DENTISTRY
Practice address
3071 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone
(901) 382-1564
Fax
(901) 382-0657
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mrs. Wendi Stuhr, CDA, RDA
Title
Office Manager
Phone
(901) 382-1564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DS2722 TN Primary

Addresses

Primary practice location

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822

Mailing address

3071 Kirby Whitten Rd
Bartlett, TN 38134-2822
Phone (901) 382-1564

Other identifiers 1

IdentifierTypeStateIssuer
0100184OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1952425282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3071 KIRBY WHITTEN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342822",
            "telephone_number": "901-382-1564",
            "fax_number": "901-382-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3071 KIRBY WHITTEN RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342822",
            "telephone_number": "901-382-1564",
            "fax_number": "901-382-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARTLETT PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "STUHR",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-382-1564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDA, RDA"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS2722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0100184",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.