NPIMap

Organization Active NPI

Michael Dunn Center

  • Physical Therapy Assistant
  • Kingston, TN
National Provider Identifier
1811325624
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
6640 Issued in TN
Legal business name
MICHAEL DUNN CENTER
Practice address
629 Gallaher Rd
Kingston, TN 37763-4215
Phone
(865) 376-3416
Fax
(865) 376-3532
NPI assigned
Oct 15, 2013
Last updated
Oct 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Authorized official

Name
Mr. Michael L. McElhinney
Title
President/ Ceo
Phone
(865) 376-3416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X 6640 TN Primary

Addresses

Primary practice location

629 Gallaher Rd
Kingston, TN 37763-4215

Mailing address

629 Gallaher Rd
Kingston, TN 37763-4215
Phone (865) 376-3416

Other identifiers 2

IdentifierTypeStateIssuer
H445387MedicaidTN
1316076268OtherTNNPI

National Provider Directory

National Provider Directory
Tax ID family
Michael Dunn Center5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1381795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381795200000",
    "number": "1811325624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634215",
            "telephone_number": "865-376-3416",
            "fax_number": "865-376-3532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 GALLAHER RD",
            "city": "KINGSTON",
            "state": "TN",
            "postal_code": "377634215",
            "telephone_number": "865-376-3416",
            "fax_number": "865-376-3532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL DUNN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-15",
        "last_updated": "2013-10-15",
        "status": "A",
        "authorized_official_last_name": "MCELHINNEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "865-376-3416",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "6640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H445387",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316076268",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2013; 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.