Timothy Elvin McNutt, Sr., D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

4728 Issued in TN

Practice address

3817 Bedford Ave.
Suite 120
Nashville, TN 37215

Phone

(615) 383-0171

Fax

(615) 383-8378

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316077704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 BEDFORD AVE.",
            "address_2": "SUITE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37215",
            "telephone_number": "615-383-0171",
            "fax_number": "615-383-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3817 BEDFORD AVE.",
            "address_2": "SUITE 120",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37215",
            "telephone_number": "615-383-0171",
            "fax_number": "615-383-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT, SR.",
        "first_name": "TIMOTHY",
        "middle_name": "ELVIN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "4728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paige McNeilly, TLMFT
• Hallie Kennedy McNew, NP
• Deborah Joanne McNiel, CRNA
• Nora McNulty
• David Eugene McNutt, DDS
• Tim Elvin McNutt Jr., D.D.S.
• Ryan McParland, BSN, RN
• Amanda McPeek
• Hayley Lauren House McPhedran, PA-C
• Scott Douglas McPhee, OTR

• Pediatric Dentistry in Nashville, TN
• Providers in Nashville, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.