Individual provider Active NPI

Josh J Wayman, D.D.S.

  • General Practice Dentistry
  • Brentwood, TN
National Provider Identifier
1881724821
Registry record updated Sep 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
621762264 Issued in TN
Practice address
5110 Maryland Way
Suite 190
Brentwood, TN 37027-7508
Phone
(615) 373-2030
Fax
(615) 373-7059
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 621762264 TN Primary

Addresses

Primary practice location

5110 Maryland Way
Suite 190
Brentwood, TN 37027-7508

Mailing address

111 W Kingston Springs Rd
Ste 101
Kingston Springs, TN 37082-9121
Phone (615) 952-4210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160922001564 TN Order and Referring Only - Other (Non-Physician) 3476840216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Phillip a. Kemp D.D.S. PLLC PastSince Jul 25, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1881724821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W KINGSTON SPRINGS RD",
            "address_2": "STE 101",
            "city": "KINGSTON SPRINGS",
            "state": "TN",
            "postal_code": "370829121",
            "telephone_number": "615-952-4210",
            "fax_number": "615-952-4081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 MARYLAND WAY",
            "address_2": "SUITE 190",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370277508",
            "telephone_number": "615-373-2030",
            "fax_number": "615-373-7059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMAN",
        "first_name": "JOSH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "621762264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.