Organization Active NPI

Richard C Huddleston MD PC

  • Obstetrics & Gynecology Physician
  • Smyrna, TN
National Provider Identifier
1649465014
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
26462 Issued in TN
Legal business name
RICHARD C HUDDLESTON MD PC
Practice address
300 Stonecrest Blvd Ste 490
Smyrna, TN 37167-6817
Phone
(615) 223-0200
Fax
(615) 223-8704
NPI assigned
Sep 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Richard Huddleston, MD
Title
Physician
Phone
(615) 223-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 26462 TN Primary

Addresses

Primary practice location

300 Stonecrest Blvd Ste 490
Smyrna, TN 37167-6817

Mailing address

300 Stonecrest Blvd Ste 490
Smyrna, TN 37167-6817
Phone (615) 223-0200

Other identifiers 1

IdentifierTypeStateIssuer
3089841MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1649465014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 490",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676817",
            "telephone_number": "615-223-0200",
            "fax_number": "615-223-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD STE 490",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676817",
            "telephone_number": "615-223-0200",
            "fax_number": "615-223-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD C HUDDLESTON MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "HUDDLESTON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "615-223-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TN",
            "license": "26462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3089841",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2007; 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.