Organization Active NPI

Team Memphis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Memphis, TN
National Provider Identifier
1104587054
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
TEAM MEMPHIS ORTHODONTICS
Practice address
5180 Park Ave Ste 260
Memphis, TN 38119-3535
Phone
(615) 414-8589
NPI assigned
Jan 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Dr. Kevin J Robinson, DDSNPI 1821293820
Title
Member Manager/Orthodontist
Phone
(615) 834-5613

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

5180 Park Ave Ste 260
Memphis, TN 38119-3535

Mailing address

6220 Nolensville Pike
Nashville, TN 37211-6815
Phone (615) 834-5613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1104587054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 NOLENSVILLE PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372116815",
            "telephone_number": "615-834-5613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5180 PARK AVE STE 260",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193535",
            "telephone_number": "615-414-8589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM MEMPHIS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEMBER MANAGER/ORTHODONTIST",
        "authorized_official_telephone_number": "615-834-5613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.