Polyclinics.Net, PLLC

Primary specialty

Student Health Clinic/CenterTaxonomy code 261QS1000X

License

N/A Issued in TN

Legal business name

POLYCLINICS.NET, PLLC

Practice address

721 Bryan Dr
Dayton, TN 37321-6275

Phone

(423) 285-1690

Fax

(423) 285-1691

NPI assigned

Jul 21, 2008

Last updated

Jul 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M Jenkinson, DO

Title

Medical Director / Owner

Phone

(423) 285-1690

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1216598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1366607277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373840189",
            "telephone_number": "423-285-1690",
            "fax_number": "423-285-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 BRYAN DR",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373216275",
            "telephone_number": "423-285-1690",
            "fax_number": "423-285-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLYCLINICS.NET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-21",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "JENKINSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR / OWNER",
        "authorized_official_telephone_number": "423-285-1690",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "TN",
            "license": "N/A",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TN",
            "license": "N/A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Orten, PA-C
• Sharon Eileen Oxentenko, M.S.
• Sarah Parker
• Niki Patel
• Christopher Pittman
• Cody Redbrook Powers, PTA
• Larry Brandon Pritchett, PHARMD
• Progressivehealth Healthspot
• Angela Lynn Reeves, MSPT
• Henry Lamar Reid III, DC

• Student Health Clinic/Center in Dayton, TN
• Providers in Dayton, TN by specialty
• Student Health Clinic/Center in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.