Organization Active NPI

The Estate of P. Laray Rector

  • Dentist
  • Lewisburg, TN
National Provider Identifier
1396142485
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4499 Issued in TN
Legal business name
THE ESTATE OF P. LARAY RECTOR
Practice address
553 W Commerce St
Lewisburg, TN 37091
Phone
(931) 359-1900
Fax
(931) 359-9774
NPI assigned
Dec 4, 2014
Last updated
Dec 4, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Authorized official

Name
Debbie G Crosslin
Title
Administrative Assistant
Phone
(931) 359-1900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4499 TN Primary

Addresses

Primary practice location

553 W Commerce St
Lewisburg, TN 37091

Mailing address

553 W Commerce St
Lewisburg, TN 37091-3219
Phone (931) 359-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1396142485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 W COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370913219",
            "telephone_number": "931-359-1900",
            "fax_number": "931-359-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 W COMMERCE ST",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "37091",
            "telephone_number": "931-359-1900",
            "fax_number": "931-359-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ESTATE OF P. LARAY RECTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "CROSSLIN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "931-359-1900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "4499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.