Organization Active NPI

Witherow Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Mt Juliet, TN
National Provider Identifier
1235359803
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
WITHEROW ORTHODONTICS
Practice address
1323 Clearview Dr
Mt Juliet, TN 37122-3424
Phone
(615) 754-2027
NPI assigned
Apr 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Donald Shane Witherow, DDSNPI 1093769168
Title
Orthodontist
Phone
(615) 754-2027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

1323 Clearview Dr
Mt Juliet, TN 37122-3424

Mailing address

1323 Clearview Dr
Mt Juliet, TN 37122-3424
Phone (615) 754-2027

National Provider Directory

National Provider Directory

Locations

1323 Clearview Dr
Mt Juliet, TN 37122
Phone (615) 754-2027

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235359803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 CLEARVIEW DR",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223424",
            "telephone_number": "615-754-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 CLEARVIEW DR",
            "city": "MT JULIET",
            "state": "TN",
            "postal_code": "371223424",
            "telephone_number": "615-754-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHEROW ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WITHEROW",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "615-754-2027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Juliet, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.