Individual provider Active NPI

James Allen Dietrich, DDS

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1386861839
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS2542 Issued in TN
Practice address
4301 Hillsboro Pike
Ste. 315
Nashville, TN 37215-3345
Phone
(615) 383-6066
Fax
(615) 383-6161
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS2542 TN Primary

Addresses

Primary practice location

4301 Hillsboro Pike
Ste. 315
Nashville, TN 37215-3345

Mailing address

4301 Hillsboro Pike
Ste. 315
Nashville, TN 37215-3345
Phone (615) 383-6066

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

LicenseStateTypeSpecialty
DS2542TNMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Dental Care of Tennessee, PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386861839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE",
            "address_2": "STE. 315",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-383-6066",
            "fax_number": "615-383-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 HILLSBORO PIKE",
            "address_2": "STE. 315",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153345",
            "telephone_number": "615-383-6066",
            "fax_number": "615-383-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIETRICH",
        "first_name": "JAMES",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS2542",
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.