Organization Active NPI

The Dental Edge, P.C.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1962636191
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS02226 Issued in TN
Legal business name
THE DENTAL EDGE, P.C.
Practice address
5544 Franklin Pike Ste 102
Nashville, TN 37220-2127
Phone
(615) 373-0642
Fax
(615) 370-0778
NPI assigned
May 1, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Dr. Michael W Edge, D.D.S.
Title
President
Phone
(615) 373-0642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS02226 TN Primary

Addresses

Primary practice location

5544 Franklin Pike Ste 102
Nashville, TN 37220-2127

Mailing address

PO Box 306086
Nashville, TN 37230-6086
Phone (615) 373-0642

Other identifiers 1

IdentifierTypeStateIssuer
4140665OtherTNBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1241136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1962636191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306086",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306086",
            "telephone_number": "615-373-0642",
            "fax_number": "615-370-0778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 FRANKLIN PIKE STE 102",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372202127",
            "telephone_number": "615-373-0642",
            "fax_number": "615-370-0778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL EDGE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-01",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "EDGE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-373-0642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS02226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4140665",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; 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.