Active NPI
Thomas Ross Patterson, DDS
- Dentist
- Ripley, TN
National Provider Identifier
1073659058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS8302
- Practice address
- 500 Hwy 51 South
Ripley, TN 38063 - Phone
- (731) 635-9711
- Fax
- (731) 635-3630
- NPI assigned
- Jan 29, 2007
- 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 | DS8302 | TN | Primary |
Addresses
Primary practice location
500 Hwy 51 South
Ripley, TN 38063
Mailing address
500 Hwy 51 South
Ripley, TN 38063
Phone (731) 635-9711
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440689 | Medicaid | TN |
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 |
|---|---|---|---|
| DS8302 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073659058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 HWY 51 SOUTH",
"city": "RIPLEY",
"state": "TN",
"postal_code": "38063",
"telephone_number": "731-635-9711",
"fax_number": "731-635-3630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 HWY 51 SOUTH",
"city": "RIPLEY",
"state": "TN",
"postal_code": "38063",
"telephone_number": "731-635-9711",
"fax_number": "731-635-3630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "THOMAS",
"middle_name": "ROSS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS8302",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440689",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ripley, TN
- Myeyedr Optometry of Tennessee, LLC (MyEyeDr)
- Damien Eric Nethery, LCSW
- Northwest Tennessee Foot Clinic, PLLC
- J W Nunn
- Melissa Olds Ozment, RN
- Paige S Pettit, R.N.
- Kevin Wayne Pridmore, P.T.
- Professional Care Services of West TN Inc
- Professional Care Services of West TN Inc (WM F Walker Counseling Center)
- Jessica Revelle Rains, PHYSICIAN ASSISTANT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.