Organization Active NPI

Wolf River Plastic Surgery,PC

  • Specialist
  • Germantown, TN
National Provider Identifier
1679743561
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD10489 Issued in TN
Legal business name
WOLF RIVER PLASTIC SURGERY,PC
Practice address
7910 Wolf River Blvd
Germantown, TN 38138-1725
Phone
(901) 737-1050
Fax
(901) 737-1107
NPI assigned
Mar 6, 2008
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Dr. Deeann Dossett
Title
Manager
Phone
(901) 737-1050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD10489 TN Primary

Addresses

Primary practice location

7910 Wolf River Blvd
Germantown, TN 38138-1725

Mailing address

7910 Wolf River Blvd
Germantown, TN 38138-1725
Phone (901) 737-1050

National Provider Directory

National Provider Directory

Locations

7910 Wolf River Blvd
Germantown, TN 38138
Phone (901) 737-1050

NPI Registry JSON

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1679743561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7910 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381725",
            "telephone_number": "901-737-1050",
            "fax_number": "901-737-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOLF RIVER BLVD",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381381725",
            "telephone_number": "901-737-1050",
            "fax_number": "901-737-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOLF RIVER PLASTIC SURGERY,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "DOSSETT",
        "authorized_official_first_name": "DEEANN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "901-737-1050",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD10489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Germantown, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.