Organization Active NPI

Blue Hill Family & Cosmetic Dentistry PC

  • Dental Clinic/Center
  • Crossville, TN
National Provider Identifier
1962085324
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BLUE HILL FAMILY & COSMETIC DENTISTRY PC
Practice address
125 Brown Ave
Crossville, TN 38555-4795
Phone
(931) 484-7650
NPI assigned
May 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Authorized official

Name
Juan Aponte, DDSNPI 1831291236
Title
Dentist
Phone
(931) 484-7650

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

125 Brown Ave
Crossville, TN 38555-4795

Mailing address

125 Brown Ave
Crossville, TN 38555-4795
Phone (931) 484-7650

Other names 1

  • Blue Hill Family & Cosmetic Dentistry PC Doing business as

National Provider Directory

National Provider Directory

Locations

125 Brown Ave
Crossville, TN 38555
Phone (931) 456-2728

Practitioners & affiliated clinicians

Practitioners 3

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": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620086400000",
    "number": "1962085324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BROWN AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554795",
            "telephone_number": "931-484-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BROWN AVE",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385554795",
            "telephone_number": "931-484-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HILL FAMILY & COSMETIC DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A",
        "authorized_official_last_name": "APONTE",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "931-484-7650",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Hill Family & Cosmetic Dentistry PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.