Individual provider Active NPI

Michelle Pardue, DDS

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1326029752
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5413 Issued in TN
Practice address
1015 E Trinity LN
Nashville, TN 37216-3029
Phone
(615) 862-6727
Fax
(615) 880-1540
NPI assigned
Nov 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 5413 TN Primary

Addresses

Primary practice location

1015 E Trinity LN
Nashville, TN 37216-3029

Mailing address

1015 E Trinity LN
Nashville, TN 37216-3029
Phone (615) 862-6727

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

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1326029752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E TRINITY LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163029",
            "telephone_number": "615-862-6727",
            "fax_number": "615-880-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E TRINITY LN",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372163029",
            "telephone_number": "615-862-6727",
            "fax_number": "615-880-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUE",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2016; 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.