Active NPI
Thomas Mitchell Prater, D.D.S.
- Dentist
- Millington, TN
National Provider Identifier
1003891490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5372
- Practice address
- 5722 Integrity Drive
BLDG. S771
Millington, TN 38054 - Phone
- (901) 874-5361
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5372 | TN | Primary |
Addresses
Primary practice location
5722 Integrity Drive
BLDG. S771
Millington, TN 38054
Mailing address
5722 Integrity Drive
BLDG. S771
Millington, TN 38054
Phone (901) 874-5361
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5372 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1003891490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5722 INTEGRITY DRIVE",
"address_2": "BLDG. S771",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38054",
"telephone_number": "901-874-5361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5722 INTEGRITY DRIVE",
"address_2": "BLDG. S771",
"city": "MILLINGTON",
"state": "TN",
"postal_code": "38054",
"telephone_number": "901-874-5361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATER",
"first_name": "THOMAS",
"middle_name": "MITCHELL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "5372",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millington, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.