TDNC LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Legal business name

TDNC LLC

Practice address

4099 Gemstone Ave
Kingman, AZ 86401

Phone

(928) 530-5430

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Tammy J Davison, RDN, CDCESNPI 1912182130

Title

Owner/Registered Dietitian

Phone

(928) 530-5430

Specialties & licenses 1

Addresses

Other names 2

• TDNC, LLC Doing business as
• Tammy Jeanne Davison Other name

Locations

Practitioners 2

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

• Tammy Jeanne Davison, RD, CDE

  • Registered Dietitian
  • NPI 1912182130

  Dietitian, Registered

  NPD Authorized official
• Timothy M. Glass, D.C.

  • Chiropractor
  • Kingman, AZ
  • NPI 1861424475
  NPD (past)

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1750132619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 GEMSTONE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864017385",
            "telephone_number": "928-530-5430",
            "fax_number": "928-233-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4099 GEMSTONE AVE",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86401",
            "telephone_number": "928-530-5430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3555 Western Ave",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "86409",
            "country_code": "US",
            "telephone_number": "928-530-5430",
            "fax_number": "928-233-8150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TDNC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "DAVISON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/REGISTERED DIETITIAN",
        "authorized_official_telephone_number": "928-530-5430",
        "authorized_official_credential": "RDN, CDCES"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TDNC, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tammy Jeanne Davison",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Elizabeth Tarquinio, P.T.
• Tyler T Tatton, DDS
• Sirpa A Tavakoli, M.D.
• Lorne Franklin Taylor, D.O.
• Mary Taylor, SLPA
• Joseph Henry Tedesco, D.O.
• Terros Inc
• Terros Inc
• Max L Terry, M.D.
• The Lingenfelter Center

• Registered Dietitian in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.