Extendcare Medical Group PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

37294 Issued in TN

Legal business name

EXTENDCARE MEDICAL GROUP PLLC

Practice address

2000 Mallory LN Ste 130-256
Franklin, TN 37067-8209

Phone

(615) 261-9106

Fax

(615) 261-9106

NPI assigned

Jul 12, 2006

Last updated

Nov 28, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Dennis, MDNPI 1740268861

Title

Medical Director

Phone

(615) 261-9106

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin Odell Dennis, M.D.

  • Family Medicine Physician
  • Franklin, TN
  • NPI 1740268861
  NPD (past) Authorized official

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196208000000",
    "number": "1902831217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 MALLORY LN STE 130-256",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678209",
            "telephone_number": "615-261-9106",
            "fax_number": "615-261-9106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MALLORY LN STE 130-256",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370678209",
            "telephone_number": "615-261-9106",
            "fax_number": "615-261-9106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDCARE MEDICAL GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-11-28",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "615-261-9106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3885918",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Starling C Evins, MD
• Evo TN Cool Springs LLP
• Thomas Ewing
• Exodus Chiropractic of Franklin, LLC
• Extant LLC (Home Helpers of Franklin and Brentwood)
• Eye Care of Franklin, LLC
• Eyecare Plus CS PLLC
• Eyecare Revolution LLC (Lifetime Family Eyecare)
• Eyecare Specialties, LLC
• Joshua Matt Ezell, ATC

• Family Medicine Physician in Franklin, TN
• Providers in Franklin, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2007; 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.