Active NPI
Daniel Nuri Kiridly, M.D.
- Orthopaedic Surgery of the Spine Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 63805
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| S4797 | Other | TX | TMB |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S4797 | TX | MD | Orthopaedic Surgery of the Spine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Orthopaedics & Sports Medicine PLC | Current | Accepting new patients | |
| Premier Orthopaedics & Sports Medicine, PLC | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | 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
- 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.
-
- Orthopaedic Surgery Physician
- Nashville, TN
- NPI 1972577351
-
- Durable Medical Equipment & Medical Supplies
- Murfreesboro, TN
- NPI 1861029084
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.