Individual provider Active NPI

Richard Bryan Carlin, D.M.D.

  • General Practice Dentistry
  • Madison, TN
National Provider Identifier
1053481762
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5227 Issued in TN
Practice address
500 Lentz Dr
Ste. 80
Madison, TN 37115-5135
Phone
(615) 868-3026
Fax
(615) 868-9843
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5227 TN Primary

Addresses

Primary practice location

500 Lentz Dr
Ste. 80
Madison, TN 37115-5135

Mailing address

125 Cedar Ridge LN
Hendersonville, TN 37075-6720
Phone (615) 824-5299

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150622002712 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4789995481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1053481762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CEDAR RIDGE LN",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756720",
            "telephone_number": "615-824-5299",
            "fax_number": "615-868-9843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENTZ DR",
            "address_2": "STE. 80",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371155135",
            "telephone_number": "615-868-3026",
            "fax_number": "615-868-9843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLIN",
        "first_name": "RICHARD",
        "middle_name": "BRYAN",
        "name_prefix": "Mr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, TN

Sources for this page

Verify at the official NPI Registry.