Organization Active NPI

Tennessee Bone & Joint Clinic, PC

  • Specialist
  • Smithville, TN
National Provider Identifier
1538337910
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0000030830 Issued in TN
Legal business name
TENNESSEE BONE & JOINT CLINIC, PC
Practice address
527A W Main St
Smithville, TN 37166-1137
Phone
(615) 215-6100
Fax
(615) 215-6180
NPI assigned
Feb 19, 2008
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Anthony Peter Dalton, M.D.
Title
President/Physician
Phone
(615) 215-6100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 0000030830 TN Primary

Addresses

Primary practice location

527A W Main St
Smithville, TN 37166-1137

Mailing address

527A W Main St
PO Box 777
Smithville, TN 37166-1137
Phone (615) 215-6100

Other identifiers 2

IdentifierTypeStateIssuer
3829715MedicaidTN
1699878694OtherNPI FOR SOLE PROVIDER

National Provider Directory

National Provider Directory

Locations

1150 Perimeter Park Dr
#B
Cookeville, TN 38501
Phone (615) 738-2225

527A W Main St
Smithville, TN 37166
Phone (615) 215-3100

NPI Registry JSON

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1538337910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527A W MAIN ST",
            "address_2": "PO BOX 777",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661137",
            "telephone_number": "615-215-6100",
            "fax_number": "615-215-6180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527A W MAIN ST",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661137",
            "telephone_number": "615-215-6100",
            "fax_number": "615-215-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE BONE & JOINT CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "615-215-6100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "0000030830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3829715",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR SOLE PROVIDER",
            "identifier": "1699878694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.