Individual provider Active NPI

Norman Saul Towbin, D.D.S.

  • General Practice Dentistry
  • Memphis, TN
National Provider Identifier
1609980978
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS3302 Issued in TN
Practice address
5378 Estate Office Dr
#1
Memphis, TN 38119-3635
Phone
(901) 761-3912
NPI assigned
Aug 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS3302 TN Primary

Addresses

Primary practice location

5378 Estate Office Dr
#1
Memphis, TN 38119-3635

Mailing address

5378 Estate Office Dr
#1
Memphis, TN 38119-3635
Phone (901) 761-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160608002074 GA Order and Referring Only - Other (Non-Physician) 1355631037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS3302TNMDGeneral Practice Dentistry
3302TNMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609980978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5378 ESTATE OFFICE DR",
            "address_2": "#1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193635",
            "telephone_number": "901-761-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5378 ESTATE OFFICE DR",
            "address_2": "#1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381193635",
            "telephone_number": "901-761-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWBIN",
        "first_name": "NORMAN",
        "middle_name": "SAUL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS3302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.