Active NPI
Phillip Wayne Head Sr., DDS CAGS
- Endodontics
- Columbia, TN
National Provider Identifier
1154312437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DS3913
- Practice address
- 1324 Trotwood Ave
Columbia, TN 38401-4750 - Phone
- (931) 388-5627
- Fax
- (931) 381-6797
- NPI assigned
- Nov 4, 2005
- 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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DS3913 | TN | Primary |
Addresses
Primary practice location
1324 Trotwood Ave
Columbia, TN 38401-4750
Mailing address
1324 Trotwood Ave
Columbia, TN 38401-4750
Phone (931) 388-5627
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS3913 | TN | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maury County Endodontics | Endodontics | Past | Accepting new patients |
| Mid-Cumberland Endodontics | Endodontics | Past | Accepting new patients |
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.
-
- Endodontics
- Columbia, TN
- NPI 1679955165
-
- Endodontics
- Columbia, TN
- NPI 1205795911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1154312437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014750",
"telephone_number": "931-388-5627",
"fax_number": "931-381-6797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1324 TROTWOOD AVE",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014750",
"telephone_number": "931-388-5627",
"fax_number": "931-381-6797"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEAD",
"first_name": "PHILLIP",
"middle_name": "WAYNE",
"name_suffix": "Sr.",
"credential": "DDS CAGS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TN",
"license": "DS3913",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.