Organization Active NPI

Daigle Medical Services, LLC

  • General Practice Dentistry
  • Tullahoma, TN
National Provider Identifier
1114418787
Registry record updated May 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAIGLE MEDICAL SERVICES, LLC
Practice address
207 Fairways Blvd N
Tullahoma, TN 37388-4813
Phone
(931) 393-3916
NPI assigned
May 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2018

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

Authorized official

Name
Rory Daigle
Title
Owner/Manager
Phone
(931) 393-3916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

207 Fairways Blvd N
Tullahoma, TN 37388-4813

Mailing address

PO Box 62
Tullahoma, TN 37388-0062
Phone (931) 393-3916

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1526688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526688000000",
    "number": "1114418787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373880062",
            "telephone_number": "931-393-3916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FAIRWAYS BLVD N",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373884813",
            "telephone_number": "931-393-3916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAIGLE MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-19",
        "last_updated": "2018-05-19",
        "status": "A",
        "authorized_official_last_name": "DAIGLE",
        "authorized_official_first_name": "RORY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "931-393-3916"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2018; 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.