Active NPI
Michael C. Patterson, D.D.S.
- General Practice Dentistry
- Smyrna, TN
National Provider Identifier
1346477155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 9020
- Practice address
- 1450 Sam Davis Rd
Suite 120
Smyrna, TN 37167-2736 - Phone
- (615) 459-6974
- Fax
- (615) 459-8806
- NPI assigned
- Jun 18, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 9020 | TN | Primary |
Addresses
Primary practice location
1450 Sam Davis Rd
Suite 120
Smyrna, TN 37167-2736
Mailing address
1450 Sam Davis Rd
Suite 120
Smyrna, TN 37167-2736
Phone (615) 459-6974
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 |
|---|---|---|---|
| 9020 | TN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Smyrna Family Dentistry PLLC | General Practice | Past | Accepting new patients |
| D& N Dental, PLC | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Smyrna, TN
- NPI 1962771048
-
- General Practice Dentistry
- Smyrna, TN
- NPI 1366939340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255046400000",
"number": "1346477155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 SAM DAVIS RD",
"address_2": "SUITE 120",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371672736",
"telephone_number": "615-459-6974",
"fax_number": "615-459-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SAM DAVIS RD",
"address_2": "SUITE 120",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371672736",
"telephone_number": "615-459-6974",
"fax_number": "615-459-8806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MICHAEL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-18",
"last_updated": "2009-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "9020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.