Individual provider Active NPI

Latasha Michelle Garrett, DDS

  • Pediatric Dentistry
  • Clarksville, TN
National Provider Identifier
1972919868
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9951 Issued in TN
Practice address
495 Dunlop LN Ste 112
Clarksville, TN 37040
Phone
(931) 221-0050
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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 9951 TN Primary

Addresses

Primary practice location

495 Dunlop LN Ste 112
Clarksville, TN 37040

Mailing address

1305 3Rd Ave N Apt 145
Nashville, TN 37208-2891
Phone (423) 802-6234

Other practice location 1

510 S Jefferson Ave
Cookeville, TN 38501-4010
Phone (931) 854-1200

Other practice location 2

6413 Lee Hwy Ste 119
Chattanooga, TN 37421-4861
Phone (423) 802-6234

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

State licenses

LicenseStateTypeSpecialty
9951TNMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Adventure Pediatric Dentistry, PLLC Pediatric Dentistry CurrentSince Aug 11, 2019 Accepting new patients
Spark Dental TN, PLLC Pediatric Dentistry PastSince Aug 11, 2019 Accepting new patients

Locations

6413 Lee Hwy
Ste 119
Chattanooga, TN 37421
Phone (423) 802-6234

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1972919868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 3RD AVE N APT 145",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372082891",
            "telephone_number": "423-802-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 DUNLOP LN STE 112",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "37040",
            "telephone_number": "931-221-0050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 S Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014010",
            "country_code": "US",
            "telephone_number": "931-854-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6413 Lee Hwy Ste 119",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374214861",
            "country_code": "US",
            "telephone_number": "423-802-6234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "LATASHA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9951",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 7, 2019; 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.