Organization Active NPI

Patterson Family Dentistry

  • Dentist
  • Medina, TN
National Provider Identifier
1346579356
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
PATTERSON FAMILY DENTISTRY
Practice address
23 Garrett Dr
Medina, TN 38355
Phone
(731) 783-1111
Fax
(731) 783-1112
NPI assigned
Dec 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Dr. Thomas Ross Patterson, DDS
Title
Dentist
Phone
(901) 233-0127

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

23 Garrett Dr
Medina, TN 38355

Mailing address

23 Garrett Dr
Medina, TN 38355
Phone (731) 783-1111

National Provider Directory

National Provider Directory

Locations

23 Garrett Dr
Medina, TN 38355
Phone (731) 783-1111

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1346579356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 GARRETT DR",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355",
            "telephone_number": "731-783-1111",
            "fax_number": "731-783-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 GARRETT DR",
            "city": "MEDINA",
            "state": "TN",
            "postal_code": "38355",
            "telephone_number": "731-783-1111",
            "fax_number": "731-783-1112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTERSON FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "901-233-0127",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.

Verify at the official NPI Registry.