Tim Mathis

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5344 Issued in TN

Practice address

1010 Murfreesboro Rd
Suite 196
Franklin, TN 37064-3000

Phone

(615) 794-0402

NPI assigned

Dec 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, TN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Castle Mid-South Dental Centers

  • General Practice Dentistry
  • Franklin, TN
  • NPI 1417023599
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619039443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MURFREESBORO RD",
            "address_2": "SUITE 196",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643000",
            "telephone_number": "615-794-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 MURFREESBORO RD",
            "address_2": "SUITE 196",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370643000",
            "telephone_number": "615-794-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHIS",
        "first_name": "TIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "5344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nova Mastin
• Angela Marie Mathew, M.S., LMFT
• Lisa Eileen Mathews, MS, RD, LDN, CDE
• Haley Nicole Mathis, MS CCC-SLP
• Ross Mathis, DMD
• Ashlynn Julia Matthews, NP
• Jeffrey George Matyas, PHARM.D.
• Melissa Ann Maurer Ellzy, BSSW, MA, BCBA
• Carolyn Maxfield, D.C.
• Elisabeth Maxwell, RN, CLC

• General Practice Dentistry in Franklin, TN
• Providers in Franklin, TN by specialty
• General Practice Dentistry in Tennessee

• 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.

Verify at the official NPI Registry.