Active NPI
Casey Lyn Noble, D.D.S.
- Endodontics
- Nashville, TN
National Provider Identifier
1114136165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 8923
- Practice address
- 1633 Church St Ste 200
Nashville, TN 37203-2947 - Phone
- (615) 320-3636
- Fax
- (615) 320-9114
- NPI assigned
- May 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5429 | AL | |
| Endodontics | 1223E0200X | 60501 | KS | |
| Endodontics | 1223E0200X | 8923 | TN | Primary |
Addresses
Primary practice location
1633 Church St Ste 200
Nashville, TN 37203-2947
Mailing address
1633 Church St Ste 200
Nashville, TN 37203-2947
Phone (615) 320-3636
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 |
|---|---|---|---|
| 60501 | KS | MD | Endodontist |
| 8923 | TN | MD | Endodontist |
| 5429 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235001600000",
"number": "1114136165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 CHURCH ST STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032947",
"telephone_number": "615-320-3636",
"fax_number": "615-320-9114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 CHURCH ST STE 200",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032947",
"telephone_number": "615-320-3636",
"fax_number": "615-320-9114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOBLE",
"first_name": "CASEY",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-22",
"last_updated": "2009-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AL",
"license": "5429",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "KS",
"license": "60501",
"primary": false
},
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "8923",
"primary": true
}
],
"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 Feb 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.