Active NPI
Archie Bertrand
- Dentist
- Nashville, TN
National Provider Identifier
1497769699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D50000008267
- Practice address
- 617 S 8TH St
Nashville, TN 37206-3819 - Phone
- (615) 226-1695
- NPI assigned
- Jul 27, 2006
- 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 | D50000008267 | TN | Primary |
Addresses
Primary practice location
617 S 8TH St
Nashville, TN 37206-3819
Mailing address
212 River Oaks CV
Nashville, TN 37214-4801
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160824001617 | TN | Order and Referring Only - Dentist | 7517252992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8267 | TN | MD | Counselor |
| D50000008267 | TN | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497769699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 RIVER OAKS CV",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372144801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 S 8TH ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372063819",
"telephone_number": "615-226-1695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTRAND",
"first_name": "ARCHIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "D50000008267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nashville, 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.