DENTAL PARTNERS - BOWLING GREEN
Complete NPI Record 1497058788
Dentist in Memphis, TN
Active since December 08, 2010
Complete NPI Dataset
This page contains the complete raw NPPES record for Dental Partners - Bowling Green (NPI 1497058788), a dentist organization in Memphis, TN. All 32 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, Markdown or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1497058788 Field 1/32
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 2 Field 2/32
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Employer Identification Number EIN: Not available Field 3/32
- The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
- Provider Organization Name Legal Business Name: DENTAL PRACTICE GROUP OF TENNESSEE, PLLC Field 4/32
- The name of the organization provider. If the provider is an organization, this is the legal business name.
- Provider Other Organization Name: DENTAL PARTNERS - BOWLING GREEN Field 5/32
- Other name by which the organization provider is or has been known.
- Provider Other Organization Name Type Code: 3 Field 6/32
- Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
- Provider First Line Business Mailing Address: 296 S MAIN ST STE 300 Field 7/32
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: ALPHARETTA Field 8/32
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: GA Field 9/32
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 300091973 Field 10/32
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 11/32
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider First Line Business Practice Location Address: 717 S WHITE STATION RD STE 8 Field 12/32
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: MEMPHIS Field 13/32
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TN Field 14/32
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 381174538 Field 15/32
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/32
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 9017474611 Field 17/32
- The telephone number associated with the location address of the provider being identified.
- Provider Business Practice Location Address Fax Number: 9017474636 Field 18/32
- The fax number associated with the location address of the provider being identified.
- Authorized Official Last Name: CUTLER Field 21/32
- The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
- Authorized Official First Name: BEN Field 22/32
- The first name of the authorized official.
- Authorized Official Title or Position: SECRETARY Field 23/32
- The title or position of the authorized official.
- Authorized Official Telephone Number: 7707960382 Field 24/32
- The 10-position telephone number of the authorized official.
- Healthcare Provider Taxonomy Code 1: 122300000X Field 25/32
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 26/32
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Organization Subpart: Y Field 27/32
- Indicates whether the provider is a subpart of a larger organization. This is a single-character code: "Y" means the entity is an organizational subpart, while "N" means it is not. Subparts typically include hospital departments, clinics, or other distinct units that fall under a parent organization.
- Parent Organization LBN: DENTAL PRACTICE GROUP OF TENNESSEE, PLLC Field 28/32
- The Legal Business Name (LBN) of the parent organization, if the provider is a subpart of a larger entity. This field identifies the official registered name of the parent company or organization under which the provider operates.
- Parent Organization TIN: Not available Field 29/32
- The Taxpayer Identification Number (TIN) of the parent organization, provided when the provider is a subpart of a larger entity. This field identifies the federal tax ID used by the parent organization for official and billing purposes.
- Authorized Official Name Prefix Text: MR. Field 30/32
- The prefix used in the name of the authorized official associated with the provider's NPI record. Examples include Mr., Ms., Mrs., Dr., or other common professional or personal prefixes.
- Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP Field 31/32
- Specifies whether the provider is part of a single-specialty or multi-specialty business group. The possible values are: 193200000X – Multi-Specialty Group or 193400000X – Single Specialty Group. This field helps distinguish the organizational structure of a provider group.
Other Organization Names 13
Additional business and trade names this provider has on file with the NPPES registry.
Children's Dentistry of Red Bank Doing Business As
Name 1/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - Bellevue Doing Business As
Name 2/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - Brookhaven Doing Business As
Name 3/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - Cookeville Doing Business As
Name 4/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - Copperhill Doing Business As
Name 5/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - Dickson College Doing Business As
Name 6/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - Fountain City Doing Business As
Name 7/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - Owensboro Doing Business As
Name 8/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - South Knoxville Doing Business As
Name 9/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Partners - White Station Doing Business As
Name 10/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Pasrtners - East Ridge Doing Business As
Name 11/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Dental Pertners - Lewisburg Doing Business As
Name 12/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Just 4 Kids Teeth Doing Business As
Name 13/13Doing Business As: A trade name or operating name under which an organization provides services, distinct from its registered legal business name.
Secondary Practice Locations 13
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
775 E Brookhaven Cir
Location 1/13Memphis, TN 38117-4501 · Phone (901) 582-3100 · Fax (901) 682-9848
306 E College St
Location 2/13Dickson, TN 37055-1832 · Phone (615) 446-2816 · Fax (615) 446-5240
7640 Highway 70 S Ste 205
Location 3/13Nashville, TN 37221-1758 · Phone (615) 646-4382 · Fax (615) 646-4384
610 Carlton Dr
Location 4/13Owensboro, KY 42303-7709 · Phone (270) 683-6623 · Fax (270) 688-0658
996 Wilkinson Trce Ste B6
Location 5/13Bowling Green, KY 42103-3409 · Phone (270) 782-1128 · Fax (270) 282-8910
410 N Parrish Pl Ste 1000
Location 6/13Hendersonville, TN 37075-1003 · Phone (615) 824-1700 · Fax (615) 826-2266
1360 S Ellington Pkwy
Location 7/13Lewisburg, TN 37091-4324 · Phone (931) 359-1993 · Fax (931) 359-7372
75 Grand Ave
Location 8/13Copperhill, TN 37317-5502 · Phone (423) 496-5503 · Fax (423) 496-9963
625 Morrison Springs Rd
Location 9/13Chattanooga, TN 37415-3401 · Phone (423) 305-6400 · Fax (423) 305-6419
6502B Chapman Hwy
Location 10/13Knoxville, TN 37920-6555 · Phone (865) 609-9682 · Fax (865) 609-9684
2939 Essary Dr Ste 2
Location 11/13Knoxville, TN 37918-2464 · Phone (865) 687-1866 · Fax (865) 687-1877
694 S Willow Ave
Location 12/13Cookeville, TN 38501-3882 · Phone (931) 528-5491 · Fax (931) 520-0510
1421 Armour St
Location 13/13Chattanooga, TN 37412-2812 · Phone (423) 624-0511 · Fax (423) 629-5278
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