Terri Cooper Colquitt, DDS MSD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5033 Issued in AL

Practice address

1005 Dr. D.B. Todd,Jr. Blvd
Meharry Medical College Sod Dept of Periodontics
Nashville, TN 37208-3501

Phone

(615) 327-6300

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1043308026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 D.B. TODD, M.D. BLVD",
            "address_2": "MEHARRY MEDICAL COLLEGE SOD DEPT OF PERIODONTICS",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37204",
            "telephone_number": "615-327-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 DR. D.B. TODD,JR. BLVD",
            "address_2": "MEHARRY MEDICAL COLLEGE SOD DEPT OF PERIODONTICS",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372083501",
            "telephone_number": "615-327-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUITT",
        "first_name": "TERRI",
        "middle_name": "COOPER",
        "name_prefix": "Dr.",
        "credential": "DDS  MSD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "5385",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "AL",
            "license": "5033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009932145",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Periodontics in Nashville, TN
• Providers in Nashville, TN by specialty
• Periodontics in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.