Tonia-Marie D Porter, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

8643 Issued in TN

Practice address

1633 W Main St # 200
Lebanon, TN 37087-3423

Phone

(615) 445-9296

Fax

(615) 449-3202

NPI assigned

Jul 30, 2006

Sex

Female

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 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Porter Dentistry, P.C.

  • General Practice Dentistry
  • Lebanon, TN
  • NPI 1588984298
  NPD (past) Authorized official
• Westmoreland Family Dental, Inc.

  • General Practice Dentistry
  • Westmoreland, TN
  • NPI 1811130537
  Authorized official Same address or phone

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1245245901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 W MAIN ST # 200",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873423",
            "telephone_number": "615-445-9296",
            "fax_number": "615-449-3202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 W MAIN ST # 200",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873423",
            "telephone_number": "615-445-9296",
            "fax_number": "615-449-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "TONIA-MARIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "8643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1509136",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drew Bradley Polhill, PT
• Kelli Polizzi, LAT, ATC
• Courtney Pope
• Porter Dentistry, P.C.
• Chadwick Hagan Porter, DDS
• Makayla Posey
• Christine M Potter, APN
• Jennifer Powell, CPHT, CHW, DCCC
• Amy L Powers, APRN
• Rhoda S Powers, ARNP

• General Practice Dentistry in Lebanon, TN
• Providers in Lebanon, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.