Organization Active NPI

Lucy H. Digmon

Doing business as Digmon Family Dentistry

  • Dentist
  • Cordova, TN
National Provider Identifier
1144517590
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8861 Issued in TN
Legal business name
LUCY H. DIGMON
Doing business as
Digmon Family Dentistry
Practice address
2845 N Houston Levee Rd
Suite 101
Cordova, TN 38016-0179
Phone
(901) 266-0555
Fax
(901) 266-3921
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Dr. Lucy H Digmon, D.M.D.
Title
Owner
Phone
(901) 266-0555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 8861 TN Primary

Addresses

Primary practice location

2845 N Houston Levee Rd
Suite 101
Cordova, TN 38016-0179

Mailing address

2845 N Houston Levee Rd
Suite 101
Cordova, TN 38016-0179
Phone (901) 266-0555

Other identifiers 1

IdentifierTypeStateIssuer
1517695MedicaidTN

Other names 1

  • Digmon Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1144517590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 N HOUSTON LEVEE RD",
            "address_2": "SUITE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160179",
            "telephone_number": "901-266-0555",
            "fax_number": "901-266-3921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2845 N HOUSTON LEVEE RD",
            "address_2": "SUITE 101",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380160179",
            "telephone_number": "901-266-0555",
            "fax_number": "901-266-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCY H. DIGMON",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "DIGMON",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-266-0555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TN",
            "license": "8861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517695",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Digmon Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.