Individual provider Active NPI

Takuo Sonoda, M.D.

  • Internal Medicine Physician
  • Rockford, TN
National Provider Identifier
1871838656
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD0000008626 Issued in TN
Practice address
729 Self Hollow Rd
Rockford, TN 37853-3413
Phone
(865) 970-2078
Fax
(865) 981-4652
NPI assigned
Dec 4, 2012
Last updated
Dec 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD0000008626 TN Primary

Addresses

Primary practice location

729 Self Hollow Rd
Rockford, TN 37853-3413

Mailing address

729 Self Hollow Rd
Rockford, TN 37853-3413
Phone (865) 970-2078

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD0000008626TNMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1871838656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 SELF HOLLOW RD",
            "city": "ROCKFORD",
            "state": "TN",
            "postal_code": "378533413",
            "telephone_number": "865-970-2078",
            "fax_number": "865-981-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 SELF HOLLOW RD",
            "city": "ROCKFORD",
            "state": "TN",
            "postal_code": "378533413",
            "telephone_number": "865-970-2078",
            "fax_number": "865-981-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONODA",
        "first_name": "TAKUO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000008626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.