Active NPI
Steven Keith Alcorn, DDS
- Dentist
- Mount Juliet, TN
National Provider Identifier
1518136209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4323
- Practice address
- 1097 Weston Dr
Mt Juliet, TN 37122 - Phone
- (615) 758-7745
- NPI assigned
- Feb 27, 2008
- Last updated
- Feb 27, 2008
- Sex
- Male
- 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 | 4323 | TN | Primary |
Addresses
Primary practice location
1097 Weston Dr
Mt Juliet, TN 37122
Mailing address
1097 Weston Dr
Mt Juliet, TN 37122
Phone (615) 758-7745
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160901001939 | TN | Order and Referring Only - Other (Non-Physician) | 9436445384 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4323 | TN | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1518136209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1097 WESTON DR",
"city": "MT JULIET",
"state": "TN",
"postal_code": "37122",
"telephone_number": "615-758-7745"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1097 WESTON DR",
"city": "MT JULIET",
"state": "TN",
"postal_code": "37122",
"telephone_number": "615-758-7745"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCORN",
"first_name": "STEVEN",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-27",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "4323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.