NPIMap

Organization Active NPI

Mission Medical LLC

  • General Practice Physician
  • Franklin, TN
National Provider Identifier
1144742941
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MISSION MEDICAL LLC
Practice address
206B Cool Springs Blvd Ste 202
Franklin, TN 37067-7292
Phone
(615) 465-6642
Fax
(615) 224-3593
NPI assigned
Jul 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ronson Dykstra, DCNPI 1619927258
Title
Owner
Phone
(615) 465-6642

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
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

206B Cool Springs Blvd Ste 202
Franklin, TN 37067-7292

Mailing address

206B Cool Springs Blvd Ste 202
Franklin, TN 37067-7292
Phone (615) 465-6642

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1499904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1144742941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206B COOL SPRINGS BLVD STE 202",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677292",
            "telephone_number": "615-465-6642",
            "fax_number": "615-224-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206B COOL SPRINGS BLVD STE 202",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677292",
            "telephone_number": "615-465-6642",
            "fax_number": "615-224-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DYKSTRA",
        "authorized_official_first_name": "RONSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-465-6642",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.