NPIMap

Organization Active NPI

Dids Middle TN Resource Center

  • Adult Medicine Physician
  • Nashville, TN
National Provider Identifier
1104107101
Registry record updated Sep 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
DIDS MIDDLE TN RESOURCE CENTER
Practice address
275 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone
(615) 231-5047
NPI assigned
Sep 2, 2011
Last updated
Sep 2, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
TENNESSEE DEPARTMENT OF INTELLECTUAL & DEV. DISABILITIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2011

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

Authorized official

Name
Dr. Levi Harris, PHD
Title
Director
Phone
(615) 231-5048

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU
Dentist 122300000X NU
Dental Hygienist 124Q00000X NU
Dental Assistant 126800000X NU
Dietary Manager 132700000X NU
Driver 172A00000X NU
Specialist 174400000X NU
Adult Medicine Physician 207QA0505X NU Primary
Occupational Therapy Assistant 224Z00000X NU
Physical Therapist 225100000X NU
Physical Therapy Assistant 225200000X NU
Occupational Therapist 225X00000X NU
Certified Respiratory Therapist 227800000X NU
Registered Respiratory Therapist 227900000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

275 Stewarts Ferry Pike
Nashville, TN 37214-3325

Mailing address

275 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone (615) 231-5047

National Provider Directory

National Provider Directory
Tax ID family
Loudon County Health de202 organizations share this tax ID, including this one
Part of
Loudon County Health de

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314921600000",
    "number": "1104107101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143325",
            "telephone_number": "615-231-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 STEWARTS FERRY PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143325",
            "telephone_number": "615-231-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIDS MIDDLE TN RESOURCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TENNESSEE DEPARTMENT OF INTELLECTUAL & DEV. DISABILITIES",
        "enumeration_date": "2011-09-02",
        "last_updated": "2011-09-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LEVI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "615-231-5048",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "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 2, 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.