NPIMap

Organization Active NPI

Heritage Park Endodontics

  • Endodontics
  • Murfreesboro, TN
National Provider Identifier
1982021291
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
7586 Issued in TN
Legal business name
HERITAGE PARK ENDODONTICS
Practice address
538 Brandies Cir
Ste 105
Murfreesboro, TN 37128-7698
Phone
(615) 896-3686
Fax
(615) 896-3645
NPI assigned
Mar 25, 2014
Last updated
Mar 25, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Authorized official

Name
Dr. Melanie Arang Kim-ParkNPI 1760506091
Title
Endodontist
Phone
(615) 896-3686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 7586 TN Primary

Addresses

Primary practice location

538 Brandies Cir
Ste 105
Murfreesboro, TN 37128-7698

Mailing address

538 Brandies Cir
Ste 105
Murfreesboro, TN 37128-7698
Phone (615) 896-3686

Other identifiers 1

IdentifierTypeStateIssuer
1760506091OtherTNINDIVIDUAL NATIONAL PROVIDER ID

National Provider Directory

National Provider Directory

Locations

538 Brandies Cir
Ste 105
Murfreesboro, TN 37128
Phone (615) 896-3686

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1982021291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 BRANDIES CIR",
            "address_2": "STE 105",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287698",
            "telephone_number": "615-896-3686",
            "fax_number": "615-896-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 BRANDIES CIR",
            "address_2": "STE 105",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371287698",
            "telephone_number": "615-896-3686",
            "fax_number": "615-896-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PARK ENDODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-25",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "KIM-PARK",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ARANG",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "615-896-3686",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TN",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NATIONAL PROVIDER ID",
            "identifier": "1760506091",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.