Organization Active NPI

Trium Professional Corporation - Ky

  • General Practice Physician
  • Dickson, TN
National Provider Identifier
1447875703
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
TRIUM PROFESSIONAL CORPORATION - KY
Practice address
460 Highway 46 S
Dickson, TN 37055-2525
Phone
(615) 375-1094
Fax
(615) 246-3827
NPI assigned
Jun 12, 2020
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Timothy Sheehan
Title
President
Phone
(615) 375-1094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X NU Primary

Addresses

Primary practice location

460 Highway 46 S
Dickson, TN 37055-2525

Mailing address

PO Box 1017
Dickson, TN 37056-1017
Phone (877) 626-5321

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1447875703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370561017",
            "telephone_number": "877-626-5321",
            "fax_number": "615-246-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 HIGHWAY 46 S",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370552525",
            "telephone_number": "615-375-1094",
            "fax_number": "615-246-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIUM PROFESSIONAL CORPORATION - KY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "SHEEHAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-375-1094"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.