Active NPI
Thomas Shappley Underwood, DDS
- General Practice Dentistry
- Nashville, TN
National Provider Identifier
1700867769
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS2193
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DS2193 | TN | MD | General 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.