NPIMap

Organization Active NPI

Tennessee Valley Bone and Joint LLC

  • Orthopaedic Surgery Physician
  • Dayton, TN
National Provider Identifier
1396475877
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
TENNESSEE VALLEY BONE AND JOINT LLC
Practice address
301 White Oak Rd
Dayton, TN 37321-2530
Phone
(423) 303-3634
Fax
(423) 303-3632
NPI assigned
Jun 16, 2022
Last updated
Jun 16, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Sharm B Perry
Title
Billing / Credentialing Manager
Phone
(423) 303-3634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X NU Primary

Addresses

Primary practice location

301 White Oak Rd
Dayton, TN 37321-2530

Mailing address

PO Box 11004
Chattanooga, TN 37401-2004
Phone (423) 303-3634

Other identifiers 1

IdentifierTypeStateIssuer
3370198MedicaidTN

National Provider Directory

National Provider Directory

Locations

301 White Oak Rd
#202
Dayton, TN 37321
Phone (423) 476-5554

Practitioners & affiliated clinicians

Practitioners 8

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": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1396475877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11004",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374012004",
            "telephone_number": "423-303-3634",
            "fax_number": "423-303-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WHITE OAK RD",
            "city": "DAYTON",
            "state": "TN",
            "postal_code": "373212530",
            "telephone_number": "423-303-3634",
            "fax_number": "423-303-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY BONE AND JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "SHARM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING / CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "423-303-3634"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3370198",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; 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.