Kdnashvilledc
NPI 1629767793 · General Practice Dentistry · Hermitage, TN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kdnashvilledc is a General Practice Dentistry organization in Hermitage, TN (NPI 1629767793).
Provider details
- NPI number
- 1629767793
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Tanyika Wan, Vp Administrative Services(812) 701-0213
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-05-04
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Frequently asked questions
- What is Kdnashvilledc's NPI number?
- Kdnashvilledc's National Provider Identifier (NPI) is 1629767793, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kdnashvilledc?
- Kdnashvilledc is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Kdnashvilledc located?
- Kdnashvilledc's practice location on file with NPPES is 3901 Central Pike Ste 500, Hermitage, TN 37076-3419.
- What is Kdnashvilledc's phone number?
- The practice phone number listed in the NPPES registry for Kdnashvilledc is (615) 933-7300.
- Does Kdnashvilledc accept Medicare?
- Kdnashvilledc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Kdnashvilledc?
- The authorized official listed on Kdnashvilledc's NPPES record is Tanyika Wan, Vp Administrative Services. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kdnashvilledc's NPI active?
- Yes — Kdnashvilledc's NPI (1629767793) is active in the NPPES registry as of the last update on 2025-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.