Tennessee Valley Bone and Joint LLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

DO0000001134 Issued in TN

Legal business name

TENNESSEE VALLEY BONE AND JOINT LLC

Doing business as

Tennessee Valley Bone and Joint

Practice address

2350 N Ocoee Street
Cleveland, TN 37311

Phone

(479) 636-9702

Fax

(877) 427-2307

NPI assigned

Nov 27, 2017

Last updated

Nov 27, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Amanda Gonzalez

Title

Ncpdp Coordinator

Phone

(479) 636-9702

Specialties & licenses 1

Addresses

Other names 1

• Tennessee Valley Bone and Joint Doing business as

Tax ID family

Tennessee Valley Bone and Joint PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Tennessee Valley Bone and Joint, PC

  • Orthopaedic Surgery Physician
  • Etowah, TN
  • NPI 1891979969
  NPD tax ID

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1720592983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3328",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "72712",
            "telephone_number": "479-636-9702",
            "fax_number": "877-427-2307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N OCOEE STREET",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "37311",
            "telephone_number": "479-636-9702",
            "fax_number": "877-427-2307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNESSEE VALLEY BONE AND JOINT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "NCPDP COORDINATOR",
        "authorized_official_telephone_number": "479-636-9702"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "TN",
            "license": "DO0000001134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Valley Bone and Joint",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tennessee Dental Professionals, PC (Mouse Creek Dental Care)
• Tennessee Kidney Care PLLC
• Tennessee Oncology Pharmacy Dispensing
• Tennessee Oncology, PLLC
• Tennessee State Veterans Home Board
• Tennessee Valley Bone and Joint LLC
• Tennessee Valley Foot and Ankle Center
• Tennessee Valley Urology Center PC
• Tracy Vincent Terpstra, LPC
• Baylor Terrell, DDS

• Non-Pharmacy Dispensing Site in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Non-Pharmacy Dispensing Site in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2017; 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.