Active NPI
Timothy Alan Pfountz, D.D.S.
- Dentist
- Lebanon, TN
National Provider Identifier
1083976799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9465
- Practice address
- 335 S. Hartmann Drive
Lebanon, TN 37087-3724 - Phone
- (615) 453-9937
- NPI assigned
- Jun 10, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 | 9465 | TN | Primary |
Addresses
Primary practice location
335 S. Hartmann Drive
Lebanon, TN 37087-3724
Mailing address
335 South Hartmann Drive
Lebanon, TN 37087-3724
Phone (615) 453-9937
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 |
|---|---|---|---|
| 9465 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490313600000",
"number": "1083976799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 SOUTH HARTMANN DRIVE",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873724",
"telephone_number": "615-453-9937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 S. HARTMANN DRIVE",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873724",
"telephone_number": "615-453-9937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFOUNTZ",
"first_name": "TIMOTHY",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-10",
"last_updated": "2017-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.