Active NPI
Dan E Connor, M.D.
- Anatomic Pathology & Clinical Pathology Physician
- Brentwood, TN
National Provider Identifier
1336240464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 10229
- Practice address
- 5301 Virginia Way Ste 300
Brentwood, TN 37027-7542 - Phone
- (615) 221-4474
- Fax
- (615) 234-3774
- NPI assigned
- Sep 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 10229 | TN | Primary |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 20862 | KY |
Addresses
Primary practice location
5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Mailing address
5301 Virginia Way Ste 300
Brentwood, TN 37027-7542
Phone (615) 221-4474
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2002512 | Other | TN | BLUE CROSS |
| 64777097 | Medicaid | KY | |
| 000000004328 | Other | TN | TLC TENNCARE |
| 119440 | Other | TN | UNISON TENNCARE |
| 3040805 | Medicaid | TN |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Pathologists LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336240464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277542",
"telephone_number": "615-221-4474",
"fax_number": "615-234-3774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5301 VIRGINIA WAY STE 300",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277542",
"telephone_number": "615-221-4474",
"fax_number": "615-234-3774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNOR",
"first_name": "DAN",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "10229",
"primary": true
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "KY",
"license": "20862",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "2002512",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64777097",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TLC TENNCARE",
"identifier": "000000004328",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON TENNCARE",
"identifier": "119440",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3040805",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, TN
Sources for this page
- 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.