NPIMap

Organization Active NPI

Dickson Orthopaedic and Sports Medicine PLLC

  • Orthopaedic Surgery Physician
  • Clarksville, TN
National Provider Identifier
1629549845
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DICKSON ORTHOPAEDIC AND SPORTS MEDICINE PLLC
Practice address
1100 Ted a Crozier Sr Blvd Ste a
Clarksville, TN 37043-8912
Phone
(931) 802-8990
Fax
(931) 802-8565
NPI assigned
Dec 16, 2018
Last updated
Dec 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Authorized official

Name
Jeffrey Franklin NortonNPI 1740384320
Title
PA-C
Phone
(615) 740-0080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1100 Ted a Crozier Sr Blvd Ste a
Clarksville, TN 37043-8912

Mailing address

196 Hillview St
Dickson, TN 37055-1285
Phone (615) 740-0080

Other identifiers 1

IdentifierTypeStateIssuer
1511190MedicaidTN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544918400000",
    "number": "1629549845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 HILLVIEW ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551285",
            "telephone_number": "615-740-0080",
            "fax_number": "615-467-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 TED A CROZIER SR BLVD STE A",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438912",
            "telephone_number": "931-802-8990",
            "fax_number": "931-802-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DICKSON ORTHOPAEDIC AND SPORTS MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A",
        "authorized_official_last_name": "NORTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PA-C",
        "authorized_official_telephone_number": "615-740-0080"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511190",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarksville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.