BRENTWOOD PEDIATRIC DENTISTRY, LLC (NPI# 1730481540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730481540 |
Entity Type | Organization |
Organization Name | BRENTWOOD PEDIATRIC DENTISTRY, LLC |
Practice Address |
95 Seaboard Ln Suite 102 Brentwood TN 37027-3031 |
Practice Telephone | 6153773080 |
Practice Fax Number | 6153773088 |
Mailing Telephone | 6153773080 |
Mailing Fax Number | 6153773088 |
Enumeration Date | 2010-11-30 |
Last Update Date | 2010-11-30 |
Authorized Official Name | DR. RYAN A CREGGER (DDS/OWNER) |
Authorized Official Telephone | 6153773080 |
Authorized Official Credential | DDS |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DS8825 | TN | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1509457 | 05 |
Street Address |
95 SEABOARD LN SUITE 102 |
City | BRENTWOOD |
State | TN |
Zip Code | 37027-3031 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376593632 | Howard Brian Leeper | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2006-05-10 |
1811158124 | Ryan Allen Cregger | Dentist | 95 Seaboard Ln, Brentwood, TN 37027-2929 | 2008-06-19 |
1457544991 | Jennifer Esbenshade | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2007-08-18 |
1073728622 | Christina Marie Lohse | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2007-05-14 |
1003958901 | Brentwood Childrens Clinic | Pediatrics | 95 Seaboard Ln, Sutie 201, Brentwood, TN 37027-3031 | 2007-02-14 |
1730118225 | Mark Andy Lee | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2006-06-30 |
1144259672 | Charles A Moss | Pediatrics | 95 Seaboard Ln, Suite 201, Brentwood, TN 37027-3031 | 2006-06-30 |
1194778118 | Bram I Pinkley | Pediatrics | 95 Seaboard Ln, Brentwood, TN 37027-3031 | 2006-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154932762 | Amber Schalk | Behavioral Analyst | 333 Franklin Road Suite 135a-142, Brentwood, TN 37027 | 2020-08-17 |
1639795578 | Melissa Weitekamp | Counselor | 246 Wilson Pike Circle, Brentwood, TN 37027 | 2020-06-16 |
1528605979 | John David Murphy | Marriage & Family Therapist | 103 Continental Pl. Suite 120, Brentwood, TN 37027 | 2019-12-04 |
1548828130 | Hannah Dawn Harden | Counselor | 1604 Westgate Circle, Suite 220, Brentwood, TN 37027 | 2019-05-30 |
1790348142 | The Plastic Surgery Center Brentwood | Clinic/Center | 620 Church Street East, Brentwood, TN 37027 | 2019-04-20 |
1356803712 | Justin Kade Ellis | Dentist | 343 Franklin Rd Ste 103, Brentwood, TN 37027 | 2019-04-04 |
1073098190 | Harrison Roulaine Hall | Physical Therapist | 823 Woodburn Dr, Brentwood, TN 37027 | 2018-09-25 |
1275020273 | Merakey Allos | Home Health Aide | 5110 Maryland Way Ste 320, Brentwood, TN 37027 | 2018-04-16 |
1255836557 | Eleah Hyatt | Marriage & Family Therapist | 761 Old Hickory Blvd, Suite 101, Brentwood, TN 37027 | 2018-03-28 |
1386168607 | Brentwood Endodontics LLC | Dentist | 5111 Maryland Way Suite 209, Brentwood, TN 37027 | 2017-07-28 |
Find all providers in zip 37027 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093346827 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2221 Balfour Rd Ste D, Brentwood, CA 94513-4932 | 2020-01-30 |
1790165140 | Dental Edge.net | Clinic/Center | 6980 Moores Ln, Brentwood, TN 37027-2908 | 2015-06-01 |
1639436181 | Missouri College, Inc. | Clinic/Center | 1405 S Hanley Rd, Brentwood, MO 63144-2902 | 2012-04-20 |
1174169874 | Gulshan Kumar Dds Inc. | Clinic/Center | 7760 Brentwood Blvd Ste A, Brentwood, CA 94513-1062 | 2019-11-18 |
1881248854 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 2201 Balfour Rd Ste A, Brentwood, CA 94513-4927 | 2019-07-29 |
1326691551 | Phillip A. Kemp D.d.s. Pllc | Clinic/Center | 5110 Maryland Way Ste 190, Brentwood, TN 37027-7508 | 2019-07-17 |
1285193334 | Brighter Dental, Implant PC. | Clinic/Center | 820 Suffolk Ave, Brentwood, NY 11717-4498 | 2019-03-18 |
1144732686 | Sleep Better Tennessee | Clinic/Center | 5023 Harpeth Dr, Brentwood, TN 37027-7511 | 2017-10-24 |
1003136722 | Cecilia Topacio Fejarang, Dmd, Inc. | Clinic/Center | 141 Sand Creek Rd, Suite G, Brentwood, CA 94513-7390 | 2010-06-03 |
1992955306 | Liberty Dental Group | Clinic/Center | 6440 Brentwood Blvd Ste B, Brentwood, CA 94513-2190 | 2008-09-22 |
Find all providers in BRENTWOOD |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.