Organization Active NPI

Dino a Delaurentis DO PLLC

  • Urology Physician
  • Clarksville, TN
National Provider Identifier
1487093225
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
DINO A DELAURENTIS DO PLLC
Practice address
787 Weatherly Dr Ste 400
Clarksville, TN 37043-8952
Phone
(931) 291-9150
Fax
(931) 291-9201
NPI assigned
Jun 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Dino A Delaurentis, D. O.NPI 1235143025
Title
Owner
Phone
(931) 291-9150

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

787 Weatherly Dr Ste 400
Clarksville, TN 37043-8952

Mailing address

800 Weatherly Dr
100-L
Clarksville, TN 37043-8957
Phone (931) 553-6895

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2139979Dino a Delaurentis DO, PLLC787 Weatherly Drive Suite 400, Clarksville, TN 37043Certificate of waiverNov 12, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1487093225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WEATHERLY DR",
            "address_2": "100-L",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438957",
            "telephone_number": "931-553-6895",
            "fax_number": "931-553-0664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 WEATHERLY DR STE 400",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438952",
            "telephone_number": "931-291-9150",
            "fax_number": "931-291-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DINO A DELAURENTIS DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "DELAURENTIS",
        "authorized_official_first_name": "DINO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-291-9150",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.