Active NPI
Paul Scott Bland, D.D.S.
- Periodontics
- Cordova, TN
National Provider Identifier
1770798704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 7001
- Practice address
- 850 Willow Tree Cir
101
Cordova, TN 38018-6376 - Phone
- (901) 756-0078
- NPI assigned
- May 12, 2007
- 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 |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 7001 | TN | Primary |
Addresses
Primary practice location
850 Willow Tree Cir
101
Cordova, TN 38018-6376
Mailing address
197 Williford St
Memphis, TN 38112-3223
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 |
|---|---|---|---|
| 7001 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300492800000",
"number": "1770798704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "197 WILLIFORD ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381123223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 WILLOW TREE CIR",
"address_2": "101",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380186376",
"telephone_number": "901-756-0078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAND",
"first_name": "PAUL",
"middle_name": "SCOTT",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-12",
"last_updated": "2011-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TN",
"license": "7001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.