NPIMap

Organization Active NPI

Dedicated Physicians Group of Tennessee, PLLC

  • Non-Pharmacy Dispensing Site
  • Nashville, TN
National Provider Identifier
1215672191
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC
Practice address
505 Mainstream Dr
Nashville, TN 37228-1208
Phone
(629) 895-0080
Fax
(629) 895-5389
NPI assigned
May 4, 2022
Organization subpart
Yes
Parent organization
DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLCAs reported in NPPES

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

Authorized official

Name
Mary Chen
Title
Authorized Official
Phone
(305) 628-6117

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

505 Mainstream Dr
Nashville, TN 37228-1208

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other names 1

  • DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dedicated Physicians Group of Tennessee PLLC6 organizations share this tax ID, including this one
Part of
Dedicated Physicians Group of Tennessee PLLC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657497600000",
    "number": "1215672191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 MAINSTREAM DR",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281208",
            "telephone_number": "629-895-0080",
            "fax_number": "629-895-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEDICATED PHYSICIANS GROUP OF TENNESSEE, PLLC",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "305-628-6117"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DEDICATED SENIOR MEDICAL CENTER BORDEAUX (TC)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.