Individual provider Active NPI

Steven Dale Head, DPM

  • Podiatrist
  • Hermitage, TN
National Provider Identifier
1619080470
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
DPM268 Issued in TN
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

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Q079989MedicaidTN

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
Green means eligible to order or refer.

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
DPM268TNMDPodiatrist

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

Sources for this page

Verify at the official NPI Registry.