Active NPI
The Shappley Clinic, PLLC
- Urology Physician
- Germantown, TN
National Provider Identifier
1285993188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- THE SHAPPLEY CLINIC, PLLC
- Practice address
- 7705 Poplar Ave
Suite 310B
Germantown, TN 38138-3930 - Phone
- (901) 759-0101
- Fax
- (901) 759-1588
- NPI assigned
- May 11, 2012
- 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
- William Vance Shappley Jr., MD
- Title
- President
- Phone
- (901) 759-0101
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
7705 Poplar Ave
Suite 310B
Germantown, TN 38138-3930
Mailing address
7705 Poplar Ave
Suite 310B
Germantown, TN 38138-3930
Phone (901) 759-0101
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Clinic/Center
- Germantown, TN
- NPI 1689972978
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Germantown, TN
- NPI 1215205828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342569600000",
"number": "1285993188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7705 POPLAR AVE",
"address_2": "SUITE 310B",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383930",
"telephone_number": "901-759-0101",
"fax_number": "901-759-1588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7705 POPLAR AVE",
"address_2": "SUITE 310B",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381383930",
"telephone_number": "901-759-0101",
"fax_number": "901-759-1588"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SHAPPLEY CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2012-07-18",
"status": "A",
"authorized_official_last_name": "SHAPPLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "VANCE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "901-759-0101",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.