NASHVILLE PERIODONTAL GROUP, PA (NPI# 1982767646) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982767646 |
| Entity Type | Organization |
| Organization Name | NASHVILLE PERIODONTAL GROUP, PA |
| Practice Address |
2000 21st Ave S Nashville TN 37212-4314 |
| Practice Telephone | 6153853334 |
| Practice Fax Number | 6153853335 |
| Mailing Telephone | 6153853334 |
| Mailing Fax Number | 6153853335 |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BILLY WAYNE AKIN (PRESIDENT) |
| Authorized Official Telephone | 6153853334 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6906 | TN | Dental Providers |
| Street Address |
2000 21ST AVE S |
| City | NASHVILLE |
| State | TN |
| Zip Code | 37212-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760810709 | Brian West | Dentist | 2000 21st Ave S, Nashville, TN 37212-4314 | 2013-10-30 |
| 1548389067 | Billy Wayne Akin | Dentist | 2000 21st Ave S, Nashville, TN 37212-4314 | 2007-03-28 |
| 1447394788 | Brian D. West D.m.d. LLC | Dentist | 2000 21st Ave S, Nashville, TN 37212-4314 | 2007-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063204 | Nichole Sherwood | Pharmacist | 1314 24th Avenue S, Nashville, TN 37212 | 2019-09-27 |
| 1710460795 | Samantha Catherine Beretta | Counselor | 1710 17th Ave S, Nashville, TN 37212 | 2018-09-14 |
| 1417482449 | Elise Stephenson Scott | Student in an Organized Health Care Education/Training Program | 1601 21st Avenue South, Room 3106, Nashville, TN 37212 | 2017-04-27 |
| 1851848410 | Tracy Wehby | Nurse Practitioner | 2323 21st Ave S 3rd Floor, Nashville, TN 37212 | 2016-09-01 |
| 1821544578 | Lisa Malone | Acupuncturist | 1615 Horton Ave, Nashville, TN 37212 | 2016-08-31 |
| 1568836518 | Anna Ezell | Social Worker | 1414 17th Ave S, Nashville, TN 37212 | 2015-11-13 |
| 1427437789 | Ryan Castoro | Physical Medicine & Rehabilitation | 2201 Childrens Way Blvd., Suite 1318, Nashville, TN 37212 | 2015-05-20 |
| 1730567900 | Khushbu Shah | Student in an Organized Health Care Education/Training Program | 1601 23rd Ave S Rm 3106, Nashville, TN 37212 | 2015-05-08 |
| 1295160760 | Jacqueline Klaver | Clinical Neuropsychologist | 2200 21st Ave S Ste 300, Nashville, TN 37212 | 2013-09-03 |
| 1992145577 | Leslie Walls Binford | Nurse Practitioner | 2021 21st Ave S Ste 410, Nashville, TN 37212 | 2013-06-27 |
| Find all providers in zip 37212 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891838512 | Dan D. Harris Jr. | Dentist | 102 Woodmont Blvd Ste 310, Nashville, TN 37205-5240 | 2007-02-14 |
| 1225031024 | James M Fili | Dentist | 4205 Hillsboro Pike Ste 101, Nashville, TN 37215-3381 | 2005-05-24 |
| 1083263321 | Apoorv Goel | Dentist | 1005 Dr Db Todd Jr Blvd, Nashville, TN 37208-3501 | 2019-09-09 |
| 1952846651 | Jeffrey Penner | Dentist | 4205 Hillsboro Pike Ste 101, Nashville, TN 37215-3381 | 2017-01-04 |
| 1174952642 | Periodontal & Implant Associates of Middle Tennessee, Pllc | Dentist | 4205 Hillsboro Pike, Ste. 101, Nashville, TN 37215-3381 | 2013-11-05 |
| 1760810709 | Brian West | Dentist | 2000 21st Ave S, Nashville, TN 37212-4314 | 2013-10-30 |
| 1114156981 | Ravichandra Juluri | Dentist | 1005 Dr. D. B. Todd Jr. Blvd, Periodontics, Nashville, TN 37208-3599 | 2009-07-14 |
| 1548389067 | Billy Wayne Akin | Dentist | 2000 21st Ave S, Nashville, TN 37212-4314 | 2007-03-28 |
| 1962521336 | Barbara A Jones | Dentist | 2106 Charlotte Ave, Nashville, TN 37203-1816 | 2007-03-28 |
| 1447394788 | Brian D. West D.m.d. LLC | Dentist | 2000 21st Ave S, Nashville, TN 37212-4314 | 2007-02-19 |
| Find all providers in NASHVILLE | ||||
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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.