Organization Active NPI

Davila Pediatrics P.C.

  • Pediatrics Physician
  • Decatur, AL
National Provider Identifier
1013900166
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
17830 Issued in AL
Legal business name
DAVILA PEDIATRICS P.C.
Practice address
1874 Beltline Rd SW
Suite 110
Decatur, AL 35601-5514
Phone
(256) 355-8077
Fax
(256) 355-8710
NPI assigned
Aug 24, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mario Virgilio Davila, M.D.
Title
M.D.
Phone
(256) 355-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 17830 AL Primary

Addresses

Primary practice location

1874 Beltline Rd SW
Suite 110
Decatur, AL 35601-5514

Mailing address

1874 Beltline Rd SW
Suite 110
Decatur, AL 35601-5514
Phone (256) 355-8077

National Provider Directory

National Provider Directory

Locations

1874 Beltline Rd SW
Ste 110
Decatur, AL 35601
Phone (256) 301-3435

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013900166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-355-8077",
            "fax_number": "256-355-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 BELTLINE RD SW",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356015514",
            "telephone_number": "256-355-8077",
            "fax_number": "256-355-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVILA PEDIATRICS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVILA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_middle_name": "VIRGILIO",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "256-355-8077",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "17830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.