James M. Rollins, D.D.S.,P.C.

Primary specialty

DentistTaxonomy code 122300000X

License

DS002500 Issued in TN

Legal business name

JAMES M. ROLLINS, D.D.S.,P.C.

Practice address

394 West Main Street B-3
Hendersonville, TN 37075-3348

Phone

(615) 824-9774

Fax

(615) 826-1693

NPI assigned

Aug 17, 2011

Last updated

Aug 17, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

JAMES M. ROLLINS, D.D.S.,P.C.As reported in NPPES

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

Authorized official

Name

Dr. James Martin Rollins, D.D.S.

Title

President

Phone

(615) 824-9774

Specialties & licenses 1

Addresses

Other identifiers 2

Part of

James M Rollins Ddspc

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313539200000",
    "number": "1093095432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1157",
            "address_2": "394 WEST MAIN STREET B-3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753348",
            "telephone_number": "615-824-9774",
            "fax_number": "615-826-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "394 WEST MAIN STREET B-3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370753348",
            "telephone_number": "615-824-9774",
            "fax_number": "615-826-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. ROLLINS, D.D.S.,P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JAMES M. ROLLINS, D.D.S.,P.C.",
        "enumeration_date": "2011-08-17",
        "last_updated": "2011-08-17",
        "status": "A",
        "authorized_official_last_name": "ROLLINS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-824-9774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS002500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3217959",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2004830",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.