Active NPI
Thomas Faerber, D.M.D.
- Periodontics
- Clarksville, TN
National Provider Identifier
1770814261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- DS006917
- Practice address
- 118 Medical CT
Clarksville, TN 37043-4602 - Phone
- (931) 645-6322
- NPI assigned
- Jan 22, 2010
- Last updated
- Jan 22, 2010
- 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 | DS006917 | TN | Primary |
Addresses
Primary practice location
118 Medical CT
Clarksville, TN 37043-4602
Mailing address
118 Medical CT
Clarksville, TN 37043-4602
Phone (931) 645-6322
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 |
|---|---|---|---|
| DS006917 | TN | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1770814261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MEDICAL CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434602",
"telephone_number": "931-645-6322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MEDICAL CT",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370434602",
"telephone_number": "931-645-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAERBER",
"first_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "TN",
"license": "DS006917",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.