Organization Active NPI

Columbia Family Dentistry

  • General Practice Dentistry
  • Columbia, TN
National Provider Identifier
1972997906
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9089 Issued in TN
Legal business name
COLUMBIA FAMILY DENTISTRY
Practice address
1300 Hatcher LN Ste 6
Columbia, TN 38401-3554
Phone
(931) 840-8890
Fax
(931) 840-8885
NPI assigned
Mar 27, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Authorized official

Name
Dr. Lauren Wilburn, D.D.S
Title
Owner/Dentist
Phone
(931) 840-8890

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 9089 TN Primary

Addresses

Primary practice location

1300 Hatcher LN Ste 6
Columbia, TN 38401-3554

Mailing address

1300 Hatcher LN Ste 6
Columbia, TN 38401-3554
Phone (931) 840-8890

National Provider Directory

National Provider Directory

Locations

1300 Hatcher Ln
Ste 6
Columbia, TN 38401
Phone (931) 840-8890

NPI Registry JSON

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

{
    "created_epoch": "1427414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1972997906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HATCHER LN STE 6",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013554",
            "telephone_number": "931-840-8890",
            "fax_number": "931-840-8885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HATCHER LN STE 6",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384013554",
            "telephone_number": "931-840-8890",
            "fax_number": "931-840-8885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "WILBURN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "931-840-8890",
        "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": "9089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.