Organization Active NPI

Dennis H. Duck

  • Multi-Specialty Clinic/Center
  • Rutledge, TN
National Provider Identifier
1104345271
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
DENNIS H. DUCK
Practice address
8731 Rutledge Pike
Rutledge, TN 37861-3112
Phone
(865) 828-5595
Fax
(865) 828-5607
NPI assigned
Sep 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Dennis Howard Duck, MD, FACPNPI 1134127343
Title
Physician/Owner
Phone
(865) 828-5607

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

8731 Rutledge Pike
Rutledge, TN 37861-3112

Mailing address

8731 Rutledge Pike
Rutledge, TN 37861-3112
Phone (865) 828-5595

Other names 1

  • Duck Family Medicine Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171127003047 TN Part B Supplier - Clinic/Group Practice 8729345897 Receives reassigned benefits from 1 practitioner
Practice locations: Rutledge, TN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D1061057Duck Family Medicine8731 Rutledge Pike, Rutledge, TN 37861Provider-performed microscopyNov 7, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1104345271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8731 RUTLEDGE PIKE",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378613112",
            "telephone_number": "865-828-5595",
            "fax_number": "865-828-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8731 RUTLEDGE PIKE",
            "city": "RUTLEDGE",
            "state": "TN",
            "postal_code": "378613112",
            "telephone_number": "865-828-5595",
            "fax_number": "865-828-5607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENNIS H. DUCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-11",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "DUCK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "865-828-5607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, FACP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Duck Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Duck Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rutledge, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.