Organization Active NPI

Dickson Ear, Nose & Throat PLC

  • Specialist
  • Dickson, TN
National Provider Identifier
1154625549
Registry record updated Dec 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38445 Issued in TN
Legal business name
DICKSON EAR, NOSE & THROAT PLC
Practice address
125 Crestview Park Dr
Suite 2
Dickson, TN 37055-2850
Phone
(615) 740-5233
Fax
(615) 740-5226
NPI assigned
Dec 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2013

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

Authorized official

Name
Ms. Leigh Ann Dixon
Title
Office Manager
Phone
(615) 740-5233

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 38445 TN Primary

Addresses

Primary practice location

125 Crestview Park Dr
Suite 2
Dickson, TN 37055-2850

Mailing address

125 Crestview Park Dr
Suite 2
Dickson, TN 37055-2850
Phone (615) 740-5233

Other names 1

  • ENT, Sinus & Allergy Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

125 Crestview Park Dr
Ste 2
Dickson, TN 37055
Phone (615) 446-1370

NPI Registry JSON

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

{
    "created_epoch": "1293580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1154625549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 CRESTVIEW PARK DR",
            "address_2": "SUITE 2",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552850",
            "telephone_number": "615-740-5233",
            "fax_number": "615-740-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 CRESTVIEW PARK DR",
            "address_2": "SUITE 2",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552850",
            "telephone_number": "615-740-5233",
            "fax_number": "615-740-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON EAR, NOSE & THROAT PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-29",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "615-740-5233",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "38445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ENT, Sinus & Allergy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.