Individual provider Active NPI

Marion Leonard Messersmith, DDS, MSD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Nashville, TN
National Provider Identifier
1386708642
Registry record updated Jul 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
8791 Issued in TN
Practice address
1500 21St Avenue South
Vanderbilt Orthodontic Center
Nashville, TN 37212-8224
Phone
(615) 343-0633
Fax
(615) 343-1830
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 8791 TN Primary

Addresses

Primary practice location

1500 21St Avenue South
Vanderbilt Orthodontic Center
Nashville, TN 37212-8224

Mailing address

1500 21St Avenue South
Vanderbilt Orthodontic Center
Nashville, TN 37212-8224
Phone (615) 343-0633

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

State licenses

LicenseStateTypeSpecialty
8791TNMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1386708642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 21ST AVENUE SOUTH",
            "address_2": "VANDERBILT ORTHODONTIC CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372128224",
            "telephone_number": "615-343-0633",
            "fax_number": "615-343-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 21ST AVENUE SOUTH",
            "address_2": "VANDERBILT ORTHODONTIC CENTER",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372128224",
            "telephone_number": "615-343-0633",
            "fax_number": "615-343-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESSERSMITH",
        "first_name": "MARION",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "8791",
            "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 10, 2012; 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.