Active NPI
Michael Jay Starbody, DMD
- Dentist
- Murfreesboro, TN
National Provider Identifier
1700300498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 10826
- Practice address
- 122 Heritage Park Dr Ste 300
Murfreesboro, TN 37129-0563 - Phone
- (217) 556-5187
- NPI assigned
- Aug 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2017027434 | MO | |
| Dentist | 122300000X | 10826 | TN | Primary |
Addresses
Primary practice location
122 Heritage Park Dr Ste 300
Murfreesboro, TN 37129-0563
Mailing address
206 State St Apt F
Alton, IL 62002-6181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2017027434 | MO | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647302400000",
"number": "1700300498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 STATE ST APT F",
"city": "ALTON",
"state": "IL",
"postal_code": "620026181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 HERITAGE PARK DR STE 300",
"city": "MURFREESBORO",
"state": "TN",
"postal_code": "371290563",
"telephone_number": "217-556-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARBODY",
"first_name": "MICHAEL",
"middle_name": "JAY",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-03",
"last_updated": "2022-03-15",
"certification_date": "2022-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "2017027434",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "10826",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murfreesboro, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.