Active NPI
Robert Donnell
- Dentist
- Brighton, TN
National Provider Identifier
1306449129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS4514
- Practice address
- 8201 Mount Carmel Rd
Brighton, TN 38011-7047 - Phone
- (901) 294-3060
- NPI assigned
- Nov 17, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DS4514 | TN | Primary |
Addresses
Primary practice location
8201 Mount Carmel Rd
Brighton, TN 38011-7047
Mailing address
8201 Mount Carmel Rd
Brighton, TN 38011-7047
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS4514 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605571200000",
"number": "1306449129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8201 MOUNT CARMEL RD",
"city": "BRIGHTON",
"state": "TN",
"postal_code": "380117047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8201 MOUNT CARMEL RD",
"city": "BRIGHTON",
"state": "TN",
"postal_code": "380117047",
"telephone_number": "901-294-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONNELL",
"first_name": "ROBERT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-17",
"last_updated": "2020-11-17",
"certification_date": "2020-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS4514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brighton, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.