Active NPI
Steven Dale Head, DPM
- Podiatrist
- Hermitage, TN
National Provider Identifier
1619080470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DPM268
- Practice address
- 3901 Central Pike Ste 353
Hermitage, TN 37076-3422 - Phone
- (615) 220-8788
- Fax
- (615) 220-8688
- NPI assigned
- Aug 16, 2006
- 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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DPM268 | TN | Primary |
Addresses
Primary practice location
3901 Central Pike Ste 353
Hermitage, TN 37076-3422
Mailing address
3024 Business Park Cir
Goodlettsville, TN 37072-3132
Phone (615) 239-2018
Other practice location 1
393 Wallace Rd Ste 201
Nashville, TN 37211-8004
Phone (615) 333-2555
Other practice location 2
693 President Pl Ste 103
Smyrna, TN 37167-8601
Phone (615) 220-8788
Other practice location 3
10644 Concord Rd
Brentwood, TN 37027-8875
Phone (615) 220-8788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Q079989 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DPM268 | TN | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675814400000",
"number": "1619080470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3024 BUSINESS PARK CIR",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370723132",
"telephone_number": "615-239-2018",
"fax_number": "615-239-2018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 CENTRAL PIKE STE 353",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370763422",
"telephone_number": "615-220-8788",
"fax_number": "615-220-8688"
}
],
"practiceLocations": [
{
"address_1": "393 Wallace Rd Ste 201",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372118004",
"country_code": "US",
"telephone_number": "615-333-2555",
"fax_number": "615-781-1854",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "693 President Pl Ste 103",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "TN",
"postal_code": "371678601",
"country_code": "US",
"telephone_number": "615-220-8788",
"fax_number": "615-220-8688",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10644 Concord Rd",
"address_purpose": "LOCATION",
"city": "Brentwood",
"state": "TN",
"postal_code": "370278875",
"country_code": "US",
"telephone_number": "615-220-8788",
"fax_number": "615-220-8688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEAD",
"first_name": "STEVEN",
"middle_name": "DALE",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2023-02-08",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TN",
"license": "DPM268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q079989",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
- HCA Health Services of Tennessee, Inc. (Tristar Summit Medical Center)
- HCA Health Services of Tennessee, Inc. (Tristar Summit Medical Center)
- HCA Health Services of Tennessee, Inc. (Tristar Summit Medical Center)
- HCA Health Services of Tennessee, Inc. (Tristar Summit Medical Center)
- Jessica Lynn Heacock, M.A. BCBA
- Health Center of Hermitage (McKendree Village)
- Heart to Heart Holistic Private Care Services
- Helping Hands Support Center, Inc.
- Michael B Hemphill, MD
- Kenneth Roy Henry, P.A.-C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.