Organization Active NPI

Kreig D. Roof, PH.D., PLLC

  • Specialist
  • Franklin, TN
National Provider Identifier
1902234545
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
P0000001721 Issued in TN
Legal business name
KREIG D. ROOF, PH.D., PLLC
Practice address
3325 Aspen Grove Dr
Suite 102
Franklin, TN 37067-2905
Phone
(615) 778-9978
Fax
(615) 435-3892
NPI assigned
Oct 16, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Authorized official

Name
Dr. Kreig Douglas Roof, PH.D
Title
Neuropsychologist
Phone
(615) 778-9978

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X P0000001721 TN Primary

Addresses

Primary practice location

3325 Aspen Grove Dr
Suite 102
Franklin, TN 37067-2905

Mailing address

3325 Aspen Grove Dr
Suite 102
Franklin, TN 37067-2905
Phone (615) 778-9978

Other identifiers 1

IdentifierTypeStateIssuer
1023102944OtherTNNPI

National Provider Directory

National Provider Directory

Locations

3325 Aspen Grove Dr
Ste 102
Franklin, TN 37067
Phone (615) 778-9978

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382486400000",
    "number": "1902234545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 ASPEN GROVE DR",
            "address_2": "SUITE 102",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672905",
            "telephone_number": "615-778-9978",
            "fax_number": "615-435-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3325 ASPEN GROVE DR",
            "address_2": "SUITE 102",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370672905",
            "telephone_number": "615-778-9978",
            "fax_number": "615-435-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREIG D. ROOF, PH.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-16",
        "last_updated": "2013-10-23",
        "status": "A",
        "authorized_official_last_name": "ROOF",
        "authorized_official_first_name": "KREIG",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "615-778-9978",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "P0000001721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023102944",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.