Organization Active NPI

Triple-D Transportation Service

  • Non-emergency Medical Transport (VAN)
  • Cordova, TN
National Provider Identifier
1760035950
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRIPLE-D TRANSPORTATION SERVICE
Practice address
2000 Abbott CV
Cordova, TN 38016-3526
Phone
(901) 249-7392
Fax
(901) 310-4896
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Monik D Smith, PARTNER
Title
Partner
Phone
(901) 672-3296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

2000 Abbott CV
Cordova, TN 38016-3526

Mailing address

1660 Raybrad Dr
Cordova, TN 38016-6038
Phone (901) 249-7392

Other practice location 1

1660 Raybrad Dr
Cordova, TN 38016-6038
Phone (901) 249-7392

Other identifiers 1

IdentifierTypeStateIssuer
Q047871MedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Cordova Direct

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.

NPI Registry JSON

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1760035950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 RAYBRAD DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380166038",
            "telephone_number": "901-249-7392",
            "fax_number": "901-310-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ABBOTT CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380163526",
            "telephone_number": "901-249-7392",
            "fax_number": "901-310-4896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 Raybrad Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380166038",
            "country_code": "US",
            "telephone_number": "901-249-7392",
            "fax_number": "901-310-4896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRIPLE-D TRANSPORTATION SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MONIK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "901-672-3296",
        "authorized_official_credential": "PARTNER"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q047871",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Cordova",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1660 Raybrad Dr",
            "city": "Cordova",
            "state": "TN",
            "country_code": "US",
            "postal_code": "380166038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 17, 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.