NPIMap

Organization Active NPI

John Q Binhlam MDPC

Doing business as Advanced Skin and Laser Center

  • Dermatology Physician
  • Brentwood, TN
National Provider Identifier
1124001466
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD0000024945 Issued in TN
Legal business name
JOHN Q BINHLAM MDPC
Doing business as
Advanced Skin and Laser Center
Practice address
1649 Westgate Cir Ste 100
Brentwood, TN 37027-8573
Phone
(615) 843-7546
Fax
(615) 777-3376
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Authorized official

Name
Mr. John Q Binhlam, MDNPI 1467596080
Title
President
Phone
(615) 843-7546

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
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X MD0000024945 TN Primary

Addresses

Primary practice location

1649 Westgate Cir Ste 100
Brentwood, TN 37027-8573

Mailing address

1649 Westgate Cir Ste 100
Brentwood, TN 37027-8573
Phone (615) 843-7546

Other names 1

  • Advanced Skin and Laser Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050421000768 TN Part B Supplier - Clinic/Group Practice 5991743759 Receives reassigned benefits from 2 practitioners
Practice locations: Brentwood, TN

National Provider Directory

National Provider Directory

Locations

10 Cadillac Dr
Ste 120
Brentwood, TN 37027
Phone (615) 843-7546

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": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556755200000",
    "number": "1124001466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 WESTGATE CIR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278573",
            "telephone_number": "615-843-7546",
            "fax_number": "615-777-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 WESTGATE CIR STE 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278573",
            "telephone_number": "615-843-7546",
            "fax_number": "615-777-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN Q BINHLAM MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2019-05-02",
        "status": "A",
        "authorized_official_last_name": "BINHLAM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-843-7546",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TN",
            "license": "MD0000024945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Skin and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Skin and Laser Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brentwood, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.