Active NPI
John C Dalton, M.D.
- Anesthesiology Physician
- Nashville, TN
National Provider Identifier
1932104528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 17244
- Practice address
- 110 29TH Ave N
Ste 202
Nashville, TN 37203-1448 - Phone
- (615) 327-7870
- Fax
- (615) 327-5435
- NPI assigned
- Jun 20, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 017244 | TN | |
| Anesthesiology Physician | 207L00000X | 17244 | TN | Primary |
Addresses
Primary practice location
110 29TH Ave N
Ste 202
Nashville, TN 37203-1448
Mailing address
110 29TH Ave N
Ste 202
Nashville, TN 37203-1448
Phone (615) 327-7870
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009991825 | Medicaid | AL | |
| 3025744 | Other | TN | BCBS PROVIDER NUMBER |
| 64911522 | Medicaid | KY | |
| 3022571 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017244 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460073600000",
"number": "1932104528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-7870",
"fax_number": "615-327-5435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 29TH AVE N",
"address_2": "STE 202",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031448",
"telephone_number": "615-327-7870",
"fax_number": "615-327-5435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "JOHN",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-20",
"last_updated": "2016-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "017244",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "17244",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009991825",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "3025744",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64911522",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3022571",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.