Active NPI
Tennessee Sports Medicine & Orthopaedics, PC
- Specialist
- Smyrna, TN
National Provider Identifier
1295924884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS, PC
- Practice address
- 300 Stonecrest Blvd
Suite 390
Smyrna, TN 37167-5688 - Phone
- (615) 553-5500
- Fax
- (615) 553-5501
- NPI assigned
- Oct 18, 2007
- 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
- Dr. Charles Robert Kaelin Jr., M.D.
- Title
- Owner/ M.D.
- Phone
- (615) 553-5500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
300 Stonecrest Blvd
Suite 390
Smyrna, TN 37167-5688
Mailing address
300 Stonecrest Blvd
Suite 390
Smyrna, TN 37167-5688
Phone (615) 553-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3723564 | Other | GROUP MEDICARE NUMBER |
Other names 1
- Tennessee Sports Medicine & Orthopaedics
National Provider Directory
National Provider Directory- Tax ID family
- Tennessee Sports Medicine Orthopaedics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Lebanon, TN
- NPI 1700075421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1295924884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD",
"address_2": "SUITE 390",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675688",
"telephone_number": "615-553-5500",
"fax_number": "615-553-5501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STONECREST BLVD",
"address_2": "SUITE 390",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675688",
"telephone_number": "615-553-5500",
"fax_number": "615-553-5501"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TENNESSEE SPORTS MEDICINE & ORTHOPAEDICS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "KAELIN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "OWNER/ M.D.",
"authorized_official_telephone_number": "615-553-5500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE NUMBER",
"identifier": "3723564",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tennessee Sports Medicine & Orthopaedics",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.