Active NPI
Michael Wayne Gaither, D.D.S.
- Dentist
- Cordova, TN
National Provider Identifier
1588005045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DS8703
- Practice address
- 8790 Walnut Grove Rd
Cordova, TN 38018-4379 - Phone
- (901) 290-6585
- NPI assigned
- Jul 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS0000008703 | TN | |
| Dentist | 122300000X | DS8703 | TN | Primary |
Addresses
Primary practice location
8790 Walnut Grove Rd
Cordova, TN 38018-4379
Mailing address
8790 Walnut Grove Rd
Cordova, TN 38018-4379
Phone (901) 290-6585
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 |
|---|---|---|---|
| DS8703 | TN | MD | Dentist |
| DS0000008703 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1588005045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8790 WALNUT GROVE RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184379",
"telephone_number": "901-290-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8790 WALNUT GROVE RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184379",
"telephone_number": "901-290-6585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAITHER",
"first_name": "MICHAEL",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-07-12",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "DS0000008703",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "DS8703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.