Organization Active NPI

Kimberly Davis, Rd/LD, P.C., Inc.

  • Clinic/Center
  • Norman, OK
National Provider Identifier
1013151174
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
KIMBERLY DAVIS, RD/LD, P.C., INC.
Practice address
1414 N Porter Ave
Norman, OK 73071-6662
Phone
(405) 326-5403
Fax
(405) 217-3985
NPI assigned
Apr 20, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Ms. Kimberly Dawn Davis-Coniglio, M.S., RD/LD
Title
Owner
Phone
(405) 326-5403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1414 N Porter Ave
Norman, OK 73071-6662

Mailing address

1414 N Porter Ave
Norman, OK 73071-6662
Phone (405) 326-5403

National Provider Directory

National Provider Directory

Locations

1414 N Porter Ave
Norman, OK 73071
Phone (405) 326-5403

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1013151174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716662",
            "telephone_number": "405-326-5403",
            "fax_number": "405-217-3985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 N PORTER AVE",
            "city": "NORMAN",
            "state": "OK",
            "postal_code": "730716662",
            "telephone_number": "405-326-5403",
            "fax_number": "405-217-3985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY DAVIS, RD/LD, P.C., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS-CONIGLIO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-326-5403",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., RD/LD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norman, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.