Active NPI
Brian S Patterson, D.D.S., B.S.
- Dentist
- Medina, TN
National Provider Identifier
1124357173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9083
- Practice address
- 23 Garrett Dr
Medina, TN 38355 - Phone
- (731) 783-1111
- Fax
- (731) 783-1112
- NPI assigned
- Dec 21, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 9083 | TN | Primary |
Addresses
Primary practice location
23 Garrett Dr
Medina, TN 38355
Mailing address
23 Garrett Dr
Medina, TN 38355
Phone (731) 783-1111
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9083 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patterson Family Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Medina, TN
- NPI 1346579356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1261353600000",
"number": "1124357173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 GARRETT DR",
"city": "MEDINA",
"state": "TN",
"postal_code": "38355",
"telephone_number": "731-783-1111",
"fax_number": "731-783-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 GARRETT DR",
"city": "MEDINA",
"state": "TN",
"postal_code": "38355",
"telephone_number": "731-783-1111",
"fax_number": "731-783-1112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "BRIAN",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "D.D.S., B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-12-21",
"last_updated": "2009-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Medina, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.