Active NPI
James William Dedmon, DC
- Chiropractor
- Nashville, TN
National Provider Identifier
1629130117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0771
- Practice address
- 193 Thompson LN
Nashville, TN 37211-2411 - Phone
- (615) 333-7581
- Fax
- (615) 333-7582
- NPI assigned
- Dec 14, 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0771 | TN | Primary |
Addresses
Primary practice location
193 Thompson LN
Nashville, TN 37211-2411
Mailing address
193 Thompson LN
Nashville, TN 37211-2411
Phone (615) 333-7581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124796 | Other | TN | BLUE CROSS NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120220000940 | TN | Practitioner - Chiropractic | 9537327770 | Practice locations: Nashville, TN |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
193 Thompson LN
Nashville, TN 37211-2411
Phone (615) 333-7581
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362009600000",
"number": "1629130117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "193 THOMPSON LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112411",
"telephone_number": "615-333-7581",
"fax_number": "615-333-7582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 THOMPSON LN",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372112411",
"telephone_number": "615-333-7581",
"fax_number": "615-333-7582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEDMON",
"first_name": "JAMES",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-14",
"last_updated": "2013-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "0771",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NUMBER",
"identifier": "124796",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.