Active NPI
Darryl T Deason
- General Practice Dentistry
- Woodbury, TN
National Provider Identifier
1407000417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS3575
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Darryl T Deason, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- General Practice Dentistry
- Woodbury, TN
- NPI 1437148905
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.