Individual provider Active NPI

Joseph Richard Zacharias, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Nashville, TN
National Provider Identifier
1124478003
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral & Maxillofacial Surgery (D.M.D.)Taxonomy code 204E00000X
License
11680 Issued in TN
Practice address
300 20TH Ave N Ste 100
Nashville, TN 37203-2135
Phone
(615) 329-4401
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X DL12925 MA
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 65221 TN
Oral & Maxillofacial Surgery (D.M.D.) 204E00000X 11680 TN Primary

Addresses

Primary practice location

300 20TH Ave N Ste 100
Nashville, TN 37203-2135

Mailing address

300 20TH Ave N Ste 100
Nashville, TN 37203-2135
Phone (615) 329-4401

Other practice location 1

125 Cool Springs Blvd Ste 120
Franklin, TN 37067-6475
Phone (615) 778-0902

Other identifiers 1

IdentifierTypeStateIssuer
Q073817MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220524003260 TN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 8729374400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial SurgeryAlso: Oral Surgery
Education
Harvard School of Dental Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oral Surgical Institute PCGroup PAC ID 5092799031, 2 clinicians

Practice addresses (Care Compare)

125 Cool Springs Blvd
Suite 120
Franklin, TN 37067-6475
Phone (615) 778-0902

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11680TNMDOral & Maxillofacial Surgery (D.M.D.)
65221TNMDOral & Maxillofacial Surgery (D.M.D.)

Practice roles

OrganizationSpecialtyStatusNew patients
Oral Surgical Institute, P.C. CurrentSince Jul 1, 2022 Accepting new patients
Oral Surgical Institute, P.C. Oral & Maxillofacial Surgery Past Accepting new patients

Locations

125 Cool Springs Blvd
Ste 120
Franklin, TN 37067
Phone (615) 778-0902

300 20th Ave N
Ste 100
Nashville, TN 37203
Phone (615) 329-4401

500 28th Ave N
Ste 100
Nashville, TN 37209
Phone (615) 329-4401

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1124478003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032135",
            "telephone_number": "615-329-4401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 20TH AVE N STE 100",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372032135",
            "telephone_number": "615-329-4401"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Cool Springs Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "TN",
            "postal_code": "370676475",
            "country_code": "US",
            "telephone_number": "615-778-0902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZACHARIAS",
        "first_name": "JOSEPH",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "MA",
            "license": "DL12925",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "65221",
            "primary": false
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TN",
            "license": "11680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q073817",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.