Juan S Dinkins, DO

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

DO1635 Issued in TN

Practice address

127 Crestview Park Dr
Dickson, TN 37055-2850

Phone

(615) 441-4510

Fax

(615) 446-1357

NPI assigned

May 23, 2005

Last updated

Feb 2, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Dickson Medical Associates PC

  dba Dickson Medical Associates Crestview Walk In

  • Rural Health Clinic/Center
  • Dickson, TN
  • NPI 1285227470

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  dba DMA East Ashland City

  • Family Medicine Physician
  • Ashland City, TN
  • NPI 1164127791

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Dickson Medical Associates, PC

  dba DMA East Kingston Springs

  • Family Medicine Physician
  • Kingston Springs, TN
  • NPI 1215632849

  5% Or Greater Direct Ownership Interest

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Allegiant Health PLLC

  dba Urgent Medical Care

  • Primary Care Clinic/Center
  • Dickson, TN
  • NPI 1437624954
  NPD Authorized official
• Orthopaedic Associates, PA

  dba Towson Orthopaedic Associates

  • Orthopaedic Surgery Physician
  • Towson, MD
  • NPI 1477667707
  NPD (past)
• Orthopaedic Associates, PA

  dba Ruxton Orthotics

  • Customized Equipment (DME)
  • Baltimore, MD
  • NPI 1902099054
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1215930466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552850",
            "telephone_number": "615-446-5121",
            "fax_number": "615-446-1357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CRESTVIEW PARK DR",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552850",
            "telephone_number": "615-441-4510",
            "fax_number": "615-446-1357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINKINS",
        "first_name": "JUAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TN",
            "license": "DO1635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3114072",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00203737",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD TN",
            "identifier": "4096537",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dickson Pain and Wellness PLLC
• Dickson Pediatric Dentistry PLLC
• Dickson Recovery Center, LLC
• Dickson Surgical Partners (Dickson Ambulatory Surgery Center)
• Kyle Diluzio, MD, DMD
• Martha Ann Disch, COTA
• Elizabeth Carol Diveley, LCSW
• DMRX LLC (Dickson Medical Pharmacy)
• Taylor Dodson
• Nathan S Dotson, PA-C

• Orthopaedic Surgery of the Spine Physician in Dickson, TN
• Providers in Dickson, TN by specialty
• Orthopaedic Surgery of the Spine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.