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DAVIN RAY MODISETTE
NPI 1356721245
Radiologic Technologist in Jackson, TN

Active since June 04, 2015
23 WESTHAVEN PL, JACKSON, TN 38305(318) 475-0690(731) 435-3385 Get Directions Write a Review

NPPES record last updated: December 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 28, 2022, Aug 19, 2019 (2 updates tracked since 2019).

About Davin Ray Modisette NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVIN RAY MODISETTE (NPI 1356721245) is an individual radiologic technologist in Jackson, Tennessee, licensed in Tennessee (487010) and active in the NPI registry since June 2015.

NPPES Registry Identity

NPI1356721245
Entity TypeIndividualMale
Primary Taxonomy247100000X
Provider Legal NameDAVIN RAY MODISETTE
Location Address23 WESTHAVEN PLJackson, TN 38305-1758
Mailing Address23 Westhaven PlJackson, TN 38305-1758 · (318) 475-0690
Phone(318) 475-0690
Fax(731) 435-3385
Sole ProprietorNo
Enumeration DateJune 4, 2015
Last NPPES UpdateDecember 28, 20222 updates tracked since enumeration
NPPES CertifiedDecember 28, 2022
✔ NPI 1356721245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiologic TechnologistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code247100000X
License✔ Licensed in TN · 487010
Definition

A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

23 WESTHAVEN PL, Jackson, TN 38305
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR MOBILE IMAGING, LLC
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
23 WESTHAVEN PL
JACKSON, TN 38305
Madison County (731) 803-1078

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Davin Modisette's NPI number?

The NPI number for Davin Modisette is 1356721245. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Davin Modisette located?

Davin Modisette practices at 23 Westhaven Pl, Jackson, TN 38305. The listed phone number is (318) 475-0690.

What is Davin Modisette's specialty?

The primary specialty registered for this NPI is Radiologic Technologist with taxonomy code 247100000X.

When was this NPI record last updated?

The NPPES record for Davin Modisette was last updated on December 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.