Individual provider Active NPI

Thomas Shappley Underwood, DDS

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1700867769
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS2193 Issued in TN
Practice address
4219 Hillsboro Rd
Ste 105
Nashville, TN 37215-3328
Phone
(615) 383-5366
Fax
(615) 386-3360
NPI assigned
Nov 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DS2193 TN Primary

Addresses

Primary practice location

4219 Hillsboro Rd
Ste 105
Nashville, TN 37215-3328

Mailing address

4219 Hillsboro Rd
Ste 105
Nashville, TN 37215-3328
Phone (615) 383-5366

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS2193TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1700867769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4219 HILLSBORO RD",
            "address_2": "STE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153328",
            "telephone_number": "615-383-5366",
            "fax_number": "615-386-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4219 HILLSBORO RD",
            "address_2": "STE 105",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372153328",
            "telephone_number": "615-383-5366",
            "fax_number": "615-386-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "THOMAS",
        "middle_name": "SHAPPLEY",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS2193",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 4, 2013; 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.