Individual provider Active NPI

Daniel Nuri Kiridly, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Nashville, TN
National Provider Identifier
1043697279
Registry record updated Sep 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
63805 Issued in TN
Practice address
3443 Dickerson Pike Ste 190
Nashville, TN 37207-2533
Phone
(615) 860-1580
NPI assigned
Apr 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X S4797 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X 63805 TN Primary

Addresses

Primary practice location

3443 Dickerson Pike Ste 190
Nashville, TN 37207-2533

Mailing address

6020 W Parker Rd Ste 200
Plano, TX 75093-8172
Phone (972) 608-5000

Other practice location 1

353 New Shackle Island Rd Ste 141C
Hendersonville, TN 37075-2366
Phone (830) 278-5604

Other practice location 2

2400 Patterson St Ste 200
Nashville, TN 37203-1562
Phone (615) 342-6300

Other identifiers 1

IdentifierTypeStateIssuer
S4797OtherTXTMB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210909000623 TN Practitioner - Orthopedic Surgery 5799029989 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
S4797TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Orthopaedics & Sports Medicine PLC CurrentSince Sep 1, 2021 Accepting new patients
Premier Orthopaedics & Sports Medicine, PLC CurrentSince Sep 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince May 17, 2022 Accepting new patients

Locations

353 New Shackle Island Rd
Ste 141C
Hendersonvlle, TN 37075
Phone (615) 826-3100

300 Montvue Rd
Knoxville, TN 37919
Phone (818) 613-6769

394 Harding Pl
Ste 200
Nashville, TN 37211
Phone (615) 834-4482

3443 Dickerson Pike
Ste 190
Nashville, TN 37207
Phone (615) 301-8269

2400 Patterson St
Ste 200
Nashville, TN 37203

2400 Patterson St
Ste 300
Nashville, TN 37203
Phone (615) 342-2600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: dkiridly1618669@direct.texashealth.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631145600000",
    "number": "1043697279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 W PARKER RD STE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750938172",
            "telephone_number": "972-608-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 DICKERSON PIKE STE 190",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372072533",
            "telephone_number": "615-860-1580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "353 New Shackle Island Rd Ste 141C",
            "address_purpose": "LOCATION",
            "city": "Hendersonville",
            "state": "TN",
            "postal_code": "370752366",
            "country_code": "US",
            "telephone_number": "830-278-5604",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Patterson St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372031562",
            "country_code": "US",
            "telephone_number": "615-342-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRIDLY",
        "first_name": "DANIEL",
        "middle_name": "NURI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-27",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "S4797",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "63805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB",
            "identifier": "S4797",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.