Roy L. Dedmon

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

000444 Issued in TN

Legal business name

ROY L. DEDMON

Practice address

115 Highway 641 S
Camden, TN 38320-1639

Phone

(731) 584-7926

Fax

(731) 584-8192

NPI assigned

Jan 14, 2008

Last updated

Jan 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Roy Lane Dedmon IINPI 1780627828

Title

Chiropractor

Phone

(731) 584-7926

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roy L Dedmon II, DC

  • Chiropractor
  • Camden, TN
  • NPI 1780627828
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1124204714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 HIGHWAY 641 S",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201639",
            "telephone_number": "731-584-7926",
            "fax_number": "731-584-8192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HIGHWAY 641 S",
            "city": "CAMDEN",
            "state": "TN",
            "postal_code": "383201639",
            "telephone_number": "731-584-7926",
            "fax_number": "731-584-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY L. DEDMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "DEDMON",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "731-584-7926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "000444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lana Richardson
• Michael Joe Ridley, PA
• River Valley Physical Therapy
• Rachel Nicole Roberson, RN
• Tara Marie Roberts, FNP-C
• Emma W Scott, OD
• Poshia Slusher, FNP-BC
• Smith Chiropractic Clinic, PLLC
• Grace Marie Smith, LMT
• Marcelle Smith, DPH

• Chiropractor in Camden, TN
• Providers in Camden, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.