Tenn SM, LLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TENN SM, LLC

Doing business as

Tennessee Sports Medicine & Orthopaedics

Practice address

300 Stonecrest Blvd
Suite 390
Smyrna, TN 37167-5688

Phone

(615) 553-5500

Fax

(615) 553-5501

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Charles Robert Kaelin Jr., M.D.

Title

Owner/M.D.

Phone

(615) 553-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tennessee Sports Medicine & Orthopaedics Doing business as

Tax ID family

Tenn SM LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Tenn SM LLC

  • Ambulatory Surgical Clinic/Center
  • Mount Juliet, TN
  • NPI 1235395385
  NPD tax ID
• Tenn SM, LLC

  dba Tennessee Sports Medicine & Orthopaedics

  • Specialist
  • Lebanon, TN
  • NPI 1871775577
  NPD tax ID

Locations

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1780866483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 390",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675688",
            "telephone_number": "615-553-5500",
            "fax_number": "615-553-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STONECREST BLVD",
            "address_2": "SUITE 390",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371675688",
            "telephone_number": "615-553-5500",
            "fax_number": "615-553-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENN SM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KAELIN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "615-553-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE NUMBER",
            "identifier": "3723235",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tennessee Sports Medicine & Orthopaedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelci Taylor, DPT
• Mistye Dawnielle Taylor, M.D.
• Shatika Ewin Taylor, APRN
• Tedigs Care LLC
• Elizabeth Melvin Templeton
• Tennessee Chiropractic Alliance, PLLC
• Tennessee CVS Pharmacy LLC (CVS Pharmacy # 10949)
• Tennessee CVS Pharmacy LLC (CVS Pharmacy #17424)
• Tennessee CVS Pharmacy, L.L.C. (CVS Pharmacy #06414)
• Tennessee Dental Professionals PC (Village Crest Family Dental)

• Specialist in Smyrna, TN
• Providers in Smyrna, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.