Active NPI
Nopco of Tennessee, Inc.
- Orthotist
- Nashville, TN
National Provider Identifier
1255339396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- Legal business name
- NOPCO OF TENNESSEE, INC.
- Practice address
- 1707 State St
Nashville, TN 37203-2929 - Phone
- (615) 327-2882
- Fax
- (615) 327-2883
- NPI assigned
- Jul 12, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mark A Watson, CPO
- Title
- President/Director
- Phone
- (615) 327-2882
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | TN | Primary | |
| Prosthetist | 224P00000X | TN |
Addresses
Primary practice location
1707 State St
Nashville, TN 37203-2929
Mailing address
1707 State St
Nashville, TN 37203-2929
Phone (615) 327-2882
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1454190 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1255339396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 STATE ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032929",
"telephone_number": "615-327-2882",
"fax_number": "615-327-2883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1707 STATE ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372032929",
"telephone_number": "615-327-2882",
"fax_number": "615-327-2883"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NOPCO OF TENNESSEE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-12",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
"authorized_official_telephone_number": "615-327-2882",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CPO"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthotist",
"state": "TN",
"license": null,
"primary": true
},
{
"code": "224P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Prosthetist",
"state": "TN",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1454190",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
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 21, 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.