Active NPI
Tara McDuffey, D.D.S.
- Dentist
- Lebanon, TN
National Provider Identifier
1457478091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 9615
- Practice address
- 927 E Baddour Pkwy
Lebanon, TN 37087-3706 - Phone
- (615) 364-0170
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 9615 | TN | Primary |
Addresses
Primary practice location
927 E Baddour Pkwy
Lebanon, TN 37087-3706
Mailing address
9629 Millsford CT
Brentwood, TN 37027-8475
Phone (615) 364-0170
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9615 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408406400000",
"number": "1457478091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9629 MILLSFORD CT",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278475",
"telephone_number": "615-364-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 E BADDOUR PKWY",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873706",
"telephone_number": "615-364-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFFEY",
"first_name": "TARA",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2014-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.