State of Tennessee

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STATE OF TENNESSEE

Doing business as

West Tennessee Resource Center

Practice address

11437 Milton Wilson Rd
Arlington, TN 38002

Phone

(901) 745-7352

Fax

(901) 745-7379

NPI assigned

Feb 11, 2011

Last updated

Feb 11, 2011By 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

Sarah Edwards

Title

Deputy Director

Phone

(901) 745-7352

Specialties & licenses 3

Addresses

Other names 1

• West Tennessee Resource Center Doing business as

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

{
    "created_epoch": "1297382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297382400000",
    "number": "1962709832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11437 MILTON WILSON RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-745-7352",
            "fax_number": "901-745-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11437 MILTON WILSON RD",
            "city": "ARLINGTON",
            "state": "TN",
            "postal_code": "38002",
            "telephone_number": "901-745-7352",
            "fax_number": "901-745-7379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF TENNESSEE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-11",
        "last_updated": "2011-02-11",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "901-745-7352"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Tennessee Resource Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gary R. Speulda, PSY.D.
• Jennifer L. St. Croix, MD
• State of Tennessee (Tennessee Department of Intellectual and Developmental Disabilities)
• State of Tennessee (Arlington Developmental Center)
• State of Tennessee (DIDS West TN ICF-MR Homes)
• Stella Counseling Services, LLC
• Vanessa Stewart, PTA
• Viktoria Stone, FNP-C
• Julia Wray Stonebrook, PT, DPT
• Sunshine and Smiles, LLC.

• Dentist in Arlington, TN
• Providers in Arlington, TN by specialty
• Dentist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2011; 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.