Active NPI
Thomas Lee Coulter, DDS
- Dentist
- Nashville, TN
National Provider Identifier
1376698456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS4241
- Practice address
- 4809 Trousdale Dr
Nashville, TN 37220-1303 - Phone
- (615) 331-9033
- NPI assigned
- Jan 25, 2007
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS4241 | TN | Primary |
Addresses
Primary practice location
4809 Trousdale Dr
Nashville, TN 37220-1303
Mailing address
851 W Hillview Dr
Brentwood, TN 37027-4213
Phone (612) 370-3865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151221001937 | TN | Order and Referring Only - Oral Surgery | 1355642141 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS4241 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376698456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 W HILLVIEW DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370274213",
"telephone_number": "612-370-3865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 TROUSDALE DR",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372201303",
"telephone_number": "615-331-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "THOMAS",
"middle_name": "LEE",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS4241",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.