Organization Active NPI

Darryl T Deason

  • General Practice Dentistry
  • Woodbury, TN
National Provider Identifier
1407000417
Registry record updated Nov 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3575 Issued in TN
Legal business name
DARRYL T DEASON
Practice address
801 W Main St
Suite B
Woodbury, TN 37190-1047
Phone
(615) 563-2266
Fax
(615) 563-4258
NPI assigned
Nov 5, 2008
Last updated
Nov 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2008

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

Authorized official

Name
Dr. Darryl T Deason, DDSNPI 1437148905
Title
Dentist
Phone
(615) 563-2266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3575 TN Primary

Addresses

Primary practice location

801 W Main St
Suite B
Woodbury, TN 37190-1047

Mailing address

801 W Main St
Suite B
Woodbury, TN 37190-1047
Phone (615) 563-2266

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": "1225843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225843200000",
    "number": "1407000417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "address_2": "SUITE B",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901047",
            "telephone_number": "615-563-2266",
            "fax_number": "615-563-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W MAIN ST",
            "address_2": "SUITE B",
            "city": "WOODBURY",
            "state": "TN",
            "postal_code": "371901047",
            "telephone_number": "615-563-2266",
            "fax_number": "615-563-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRYL T DEASON",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-05",
        "last_updated": "2008-11-05",
        "status": "A",
        "authorized_official_last_name": "DEASON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "615-563-2266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; 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.