Organization Active NPI

Marvo C. Odds, DDS, P.C.

  • Dentist
  • Shelbyville, TN
National Provider Identifier
1194187534
Registry record updated Mar 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
7854 Issued in TN
Legal business name
MARVO C. ODDS, DDS, P.C.
Practice address
1872 N Main St
Shelbyville, TN 37160-2018
Phone
(931) 680-9460
NPI assigned
Mar 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2016

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

Authorized official

Name
Marvo Odds
Title
DDS/Practice Owner
Phone
(931) 680-9460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 7854 TN Primary

Addresses

Primary practice location

1872 N Main St
Shelbyville, TN 37160-2018

Mailing address

1872 N Main St
Shelbyville, TN 37160-2018
Phone (931) 680-9460

National Provider Directory

National Provider Directory

Locations

1872 N Main St
Shelbyville, TN 37160
Phone (931) 680-9460

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1194187534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1872 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602018",
            "telephone_number": "931-680-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 N MAIN ST",
            "city": "SHELBYVILLE",
            "state": "TN",
            "postal_code": "371602018",
            "telephone_number": "931-680-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVO C. ODDS, DDS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "ODDS",
        "authorized_official_first_name": "MARVO",
        "authorized_official_title_or_position": "DDS/PRACTICE OWNER",
        "authorized_official_telephone_number": "931-680-9460"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "7854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelbyville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.