NPIMap

Organization Active NPI

Earl Dwayne Lett, PC

  • Plastic Surgery Physician
  • Lebanon, TN
National Provider Identifier
1285899666
Registry record updated Nov 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
25738 Issued in TN
Legal business name
EARL DWAYNE LETT, PC
Practice address
1417 W Baddour Pkwy
Suite B
Lebanon, TN 37087-2513
Phone
(615) 443-0901
Fax
(615) 443-0310
NPI assigned
Jul 24, 2008
Last updated
Nov 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2011

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

Authorized official

Name
Earl Dwayne Lett, M.D.NPI 1790757755
Title
Owner/M.D.
Phone
(615) 443-0901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 25738 TN Primary

Addresses

Primary practice location

1417 W Baddour Pkwy
Suite B
Lebanon, TN 37087-2513

Mailing address

1417 W Baddour Pkwy
Suite B
Lebanon, TN 37087-2513
Phone (615) 443-0901

Other names 1

  • The Lett Center Other name

National Provider Directory

National Provider Directory

Locations

1417 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-0901

1417 W Baddour Pkwy
Ste B
Lebanon, TN 37087
Phone (615) 443-0901

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1285899666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W BADDOUR PKWY",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-443-0901",
            "fax_number": "615-443-0310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 W BADDOUR PKWY",
            "address_2": "SUITE B",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872513",
            "telephone_number": "615-443-0901",
            "fax_number": "615-443-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARL DWAYNE LETT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "EARL",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "615-443-0901",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "TN",
            "license": "25738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Lett Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.