Active NPI
Roy M Dement, MD
- Emergency Medicine Physician
- Memphis, TN
National Provider Identifier
1861493959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 8809
- Practice address
- 3960 New Covington Pike
Memphis, TN 38128-2504 - Phone
- (901) 291-2400
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 8809 | TN | Primary |
Addresses
Primary practice location
3960 New Covington Pike
Memphis, TN 38128-2504
Mailing address
PO Box 385
Brighton, TN 38011-0385
Phone (901) 682-6828
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8809 | TN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| Methodist Healthcare - Memphis Hospitals | Past | Accepting new patients | |
| T M Carr MD PC | Emergency Medicine | Past | Accepting new patients |
| Bell Internal Medicine PC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Legal Medicine
- Atoka, TN
- NPI 1003916891
-
- Cardiovascular Disease Physician
- Memphis, TN
- NPI 1043202088
-
dba MLH Shelby Oaks Pharmacy
- Community/Retail Pharmacy
- Memphis, TN
- NPI 1225723133
-
dba Le Bonheur Children's Hospital ESRD Unit
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Memphis, TN
- NPI 1245383355
-
- Emergency Medicine Physician
- Dyersburg, TN
- NPI 1992706097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1861493959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 385",
"city": "BRIGHTON",
"state": "TN",
"postal_code": "380110385",
"telephone_number": "901-682-6828",
"fax_number": "901-682-9316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3960 NEW COVINGTON PIKE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381282504",
"telephone_number": "901-291-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMENT",
"first_name": "ROY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "8809",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.