Island Breeze Orthodontics

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ISLAND BREEZE ORTHODONTICS

Practice address

217 Highway 46
Dickson, TN 37055-2507

Phone

(615) 326-5010

NPI assigned

Jun 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Keith Payton

Title

Owner

Phone

(615) 326-5010

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1982264701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 GOVERNORS RIDGE CT",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370648933",
            "telephone_number": "954-830-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 HIGHWAY 46",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552507",
            "telephone_number": "615-326-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND BREEZE ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "PAYTON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-326-5010",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Danelle Ingle, FNP-BC
• Integrated Anesthesia Services, PLC
• Integrity Wellness, Inc
• Intertwined
• Rafi Isaac
• Jackson Medical
• Rebecca Jackson
• Brandi Jerrel Jacobs, PHARM.D.
• Valarie James
• David Charles Jennings, APRN, FNP

• Dental Clinic/Center in Dickson, TN
• Providers in Dickson, TN by specialty
• Dental Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.