Organization Active NPI

Middle Tennessee Management, LLC

  • Dentist
  • Lewisburg, TN
National Provider Identifier
1760615850
Registry record updated Aug 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
MIDDLE TENNESSEE MANAGEMENT, LLC
Practice address
113 The Acres
Lewisburg, TN 37091-2845
Phone
(931) 359-7004
Fax
(931) 359-0951
NPI assigned
Aug 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2009

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

Authorized official

Name
Lynn Beech
Title
Credentialing
Phone
(615) 327-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

113 The Acres
Lewisburg, TN 37091-2845

Mailing address

113 The Acres
Lewisburg, TN 37091-2845
Phone (931) 359-7004

Other identifiers 1

IdentifierTypeStateIssuer
1512331MedicaidTN

Other names 1

  • Lewisburg Family Denistry Doing business as

National Provider Directory

National Provider Directory

Locations

113 The Acres
Lewisburg, TN 37091
Phone (662) 392-5523

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251072000000",
    "number": "1760615850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 THE ACRES",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912845",
            "telephone_number": "931-359-7004",
            "fax_number": "931-359-0951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 THE ACRES",
            "city": "LEWISBURG",
            "state": "TN",
            "postal_code": "370912845",
            "telephone_number": "931-359-7004",
            "fax_number": "931-359-0951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE TENNESSEE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A",
        "authorized_official_last_name": "BEECH",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "615-327-9944"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1512331",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lewisburg Family Denistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewisburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.