Dejo Viprakasit, MD PC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

DEJO VIPRAKASIT, MD PC

Practice address

1995 Highway 51 South
Suite 104
Covington, TN 38019-3635

Phone

(901) 476-1135

Fax

(901) 476-1136

NPI assigned

Jun 25, 2007

Last updated

Aug 14, 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

Mr. Teresa M. Blankenship

Title

Office Manager

Phone

(901) 476-1135

Specialties & licenses 1

Addresses

Other names 1

• Dejo Viprakasit, MD Former legal business name

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1972709152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 SOUTH",
            "address_2": "SUITE 104",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-476-1135",
            "fax_number": "901-476-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1995 HIGHWAY 51 SOUTH",
            "address_2": "SUITE 104",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193635",
            "telephone_number": "901-476-1135",
            "fax_number": "901-476-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEJO VIPRAKASIT, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "BLANKENSHIP",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "901-476-1135",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dejo Viprakasit, MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Urology Physician in Covington, TN
• Providers in Covington, TN by specialty
• Urology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.