Active NPI
Adam Conner Randazzo, DMD
- Dentist
- Nashville, TN
National Provider Identifier
1487399697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 12067
- Practice address
- 2335 8TH Ave S
Nashville, TN 37204-2252 - Phone
- (615) 334-5041
- NPI assigned
- May 2, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 12067 | TN | Primary |
Addresses
Primary practice location
2335 8TH Ave S
Nashville, TN 37204-2252
Mailing address
2335 8TH Ave S
Nashville, TN 37204-2252
Phone (615) 334-5041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12067 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1487399697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2335 8TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042252",
"telephone_number": "615-334-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2335 8TH AVE S",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372042252",
"telephone_number": "615-334-5041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDAZZO",
"first_name": "ADAM",
"middle_name": "CONNER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-02",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "12067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
- Joshua Ramsey, MD
- Keenan Clark Williams Ramsey, CRNA
- Randall Babin, Jr., D.D.S., a Professional Corporation
- Abigail Randall, APRN, PMHNP-BC
- Mary Teresa Randall, CRNA
- Jasmine Nichole Randle, BA
- Benjamin T Randolph, CRNA
- Bonnie F Randolph, MD
- Donna Randolph, PHARM.D.
- James Michael Randolph Jr., LPC/MHSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.