Active NPI
Durrett Construction
- Home Modifications Contractor
- Knoxville, TN
National Provider Identifier
1912345273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Modifications Contractor
- License
- 00024330
- Legal business name
- DURRETT CONSTRUCTION
- Practice address
- 3926 Greenleaf Avenue
Knoxville, TN 37919 - Phone
- (843) 270-9191
- NPI assigned
- Jun 10, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Leonard Thomas Henderson Jr.
- Title
- Regional Manager
- Phone
- (843) 270-9191
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Modifications Contractor | 171WH0202X | 00024330 | TN | Primary |
Addresses
Primary practice location
3926 Greenleaf Avenue
Knoxville, TN 37919
Mailing address
3926 Greenleaf Avenue
Knoxville, TN 37919
Phone (843) 270-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1530407 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370822400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370822400000",
"number": "1912345273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3926 GREENLEAF AVENUE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "843-270-9191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3926 GREENLEAF AVENUE",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "37919",
"telephone_number": "843-270-9191"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURRETT CONSTRUCTION",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-10",
"last_updated": "2013-06-10",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "LEONARD",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "REGIONAL MANAGER",
"authorized_official_telephone_number": "843-270-9191",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "171WH0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Contractor, Home Modifications",
"state": "TN",
"license": "00024330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1530407",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.