Mockingbird DME LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MOCKINGBIRD DME LLC

Practice address

200 W Martin Luther King Blvd Ste 1000
Chattanooga, TN 37402-2571

Phone

(888) 447-9060

NPI assigned

Mar 28, 2019

Organization subpart

No

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

Authorized official

Name

Patrick Hughes

Title

General Manager

Phone

(888) 447-9060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1720549017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W MARTIN LUTHER KING BLVD STE 1000",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022571",
            "telephone_number": "888-447-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W MARTIN LUTHER KING BLVD STE 1000",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022571",
            "telephone_number": "888-447-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOCKINGBIRD DME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "888-447-9060"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.