Individual provider Active NPI

Tim Elvin McNutt Jr., D.D.S.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1891046223
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9517 Issued in TN
Practice address
406 Morrow Rd
Nashville, TN 37209-3011
Phone
(615) 383-1444
Fax
(615) 383-4085
NPI assigned
Sep 25, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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 9517 TN Primary

Addresses

Primary practice location

406 Morrow Rd
Nashville, TN 37209-3011

Mailing address

406 Morrow Rd
Nashville, TN 37209-3011
Phone (615) 383-1444

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: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160215001299 TN Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062716889

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9517TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richland Creek Family Dentistry PLLC General Practice CurrentSince Oct 8, 2023 Accepting new patients

Locations

406 Morrow Rd
Nashville, TN 37209
Phone (615) 383-1444

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": "1348531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1891046223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 MORROW RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093011",
            "telephone_number": "615-383-1444",
            "fax_number": "615-383-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 MORROW RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093011",
            "telephone_number": "615-383-1444",
            "fax_number": "615-383-4085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNUTT",
        "first_name": "TIM",
        "middle_name": "ELVIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-25",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.