Active NPI
Kuang-Tzu Davis Lin, MD
- Pediatrics Physician
- Brentwood, TN
National Provider Identifier
1447479282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17382
- Practice address
- 5504 Cottonport Dr
Brentwood, TN 37027-7640 - Phone
- (615) 832-7046
- Fax
- (615) 832-7046
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17382 | TN | Primary |
Addresses
Primary practice location
5504 Cottonport Dr
Brentwood, TN 37027-7640
Mailing address
275 Stewarts Ferry Pike
Nashville, TN 37214-3325
Phone (615) 231-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130601000040 | TN | Order and Referring Only - Pediatric Medicine | 9436397551 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447479282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 STEWARTS FERRY PIKE",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372143325",
"telephone_number": "615-231-5000",
"fax_number": "615-231-5145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5504 COTTONPORT DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370277640",
"telephone_number": "615-832-7046",
"fax_number": "615-832-7046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIN",
"first_name": "KUANG-TZU",
"middle_name": "DAVIS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "17382",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.