DR. BRIAN CHRISTOPHER SHORT (NPI# 1134341696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134341696 |
Entity Type | Individual |
Full Name | DR. BRIAN CHRISTOPHER SHORT |
Credential | DDS |
Practice Address |
Ut College of Medicine, 920 Madison Avenue Suite C50 Memphis TN 38163 |
Mailing Address |
1136 Misty Isle Drive Memphis TN 38103 |
Practice Telephone | 9014485364 |
Mailing Telephone | 9015280247 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2008-08-04 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS8390 | TN | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | 1504163 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770648305 | Brian T. Short | Chiropractor | 1444 S Saint Francis Dr, Suite C, Santa Fe, NM 87505-4229 | 2006-12-26 |
1336116383 | Brian Short | Podiatrist | 6200 Pleasant Ave, Suite 3, Fairfield, OH 45014-4670 | 2006-03-08 |
1073588844 | Brian J Short | Nurse Practitioner | 4620 Middleboro Lane, Richmond, IN 47374 | 2006-02-23 |
Street Address |
UT COLLEGE OF MEDICINE, 920 MADISON AVENUE SUITE C50 |
City | MEMPHIS |
State | TN |
Zip Code | 38163 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972723336 | University of Tennessee, Memphis | Student in an Organized Health Care Education/Training Program | Ut College of Medicine, 920 Madison Avenue Suite C50, Memphis, TN 38163 | 2007-04-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801367537 | Stacie Nicole Yocom | Pediatrics | 853 Jefferson Ave Route E206, Memphis, TN 38163 | 2018-12-06 |
1639651052 | Angela Renae Haynes | Dental Hygienist | 875 Union Ave Dunn Dental Bldg C 517, Memphis, TN 38163 | 2018-09-01 |
1700362613 | Ibrahim Ortanca | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Avenue, Suite 447 - Office of Graduate Medical Education, Memphis, TN 38163 | 2018-07-13 |
1619469103 | Julia Christine Cook | Student in an Organized Health Care Education/Training Program | University of Tennesee, 920 Madison Ave, Suite 447, Memphis, TN 38163 | 2018-05-31 |
1104359058 | Malik Fakhar | Student in an Organized Health Care Education/Training Program | 960 Madison Ave, 447, Memphis, TN 38163 | 2017-04-07 |
1215319322 | Yousef Abdel-aziz | Student in an Organized Health Care Education/Training Program | 956 Court Avenue Suite G310b, Memphis, TN 38163 | 2015-06-25 |
1770963746 | Ayman Al Dayeh | Dentist | 875 Union Ave, S312, Department of Orthodontics, Memphis, TN 38163 | 2015-06-04 |
1952789430 | Mark Iltis | Student in an Organized Health Care Education/Training Program | 910 Madison Ave, University of Tennessee, 1031, Memphis, TN 38163 | 2015-05-15 |
1700129780 | Mohammad Elballat | Student in an Organized Health Care Education/Training Program | 956 Court Ave Suite H314a, Memphis, TN 38163 | 2013-03-28 |
1932468204 | Evan Neal Paul | Student in an Organized Health Care Education/Training Program | 910 Madison Avenue, Suite 1031, Memphis, TN 38163 | 2012-05-08 |
Find all providers in zip 38163 |
Taxonomy Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356775134 | Michael D. Blen Dds PC | Dentist | 6363 Poplar Ave Ste 110, Memphis, TN 38119-4802 | 2013-08-28 |
1770880064 | Miller Dental Health | Dentist | 5124 Stage Rd Ste C-2, Memphis, TN 38134-3164 | 2011-02-22 |
1710191812 | Ashley Suzanne Ramsey | Dentist | Ut College of Medicine 920 Madison Ave, Suite C50, Memphis, TN 38163-0001 | 2007-05-09 |
1538382502 | Courtney Lillianne Wilson | Dentist | 3285 Hacks Cross Rd, Ste 101, Memphis, TN 38125-8918 | 2007-04-10 |
1023147790 | Bradley W Wilkinson | Dentist | 5040 Sanderlin Avenue, Suite 101, Memphis, TN 38117 | 2007-03-05 |
1790858272 | Harry K. Sharp | Dentist | 875 Union Ave Rm S219, Memphis, TN 38163-0001 | 2006-11-15 |
1922197250 | Daniel Derrick Freeman | Dentist | 2567 Appling Rd, Memphis, TN 38133-5099 | 2006-10-12 |
1962597971 | Gregory Todd Wilkinson | Dentist | 5610 Murray Rd, Memphis, TN 38119 | 2006-10-04 |
1174511604 | Michael D. Blen | Dentist | 6363 Poplar Ave, Suite 110, Memphis, TN 38119-4831 | 2005-10-10 |
1760482046 | Sheldon Maurice Graves | Dentist | 4137 Kirby Pkwy, Suite 4, Memphis, TN 38115-6532 | 2005-07-28 |
Find all providers in MEMPHIS |
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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.