Organization Active NPI

Dr. Debora Daniel

  • Family Medicine Physician
  • Dunlap, TN
National Provider Identifier
1508050717
Registry record updated Sep 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0000026084 Issued in TN
Legal business name
DR. DEBORA DANIEL
Practice address
16931 Rankin Ave
Dunlap, TN 37327-7029
Phone
(423) 949-6300
Fax
(423) 949-6374
NPI assigned
Aug 30, 2007
Last updated
Sep 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2007

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

Authorized official

Name
Dr. Debora C Daniel, M.D.NPI 1023050614
Title
Owner/M.D.
Phone
(423) 949-6300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0000026084 TN Primary

Addresses

Primary practice location

16931 Rankin Ave
Dunlap, TN 37327-7029

Mailing address

16931 Rankin Ave
PO Box 1389
Dunlap, TN 37327-7029
Phone (423) 949-6300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188950400000",
    "number": "1508050717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16931 RANKIN AVE",
            "address_2": "PO BOX 1389",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277029",
            "telephone_number": "423-949-6300",
            "fax_number": "423-949-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16931 RANKIN AVE",
            "city": "DUNLAP",
            "state": "TN",
            "postal_code": "373277029",
            "telephone_number": "423-949-6300",
            "fax_number": "423-949-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DEBORA DANIEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-30",
        "last_updated": "2007-09-05",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/M.D.",
        "authorized_official_telephone_number": "423-949-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "0000026084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunlap, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.