J Davidson MD

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

G89324 Issued in CA

Legal business name

J DAVIDSON MD

Practice address

1550 Tuscano CT
Henderson, NV 89052-4142

Phone

(702) 736-1200

Fax

(702) 736-6538

NPI assigned

Feb 9, 2016

Last updated

Feb 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joel Davidson, MDNPI 1053535377

Title

Pres

Phone

(702) 736-1200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joel I. Davidson, MD

  • Surgery Physician
  • Henderson, NV
  • NPI 1053535377
  NPD (past) Authorized official

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1023476876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 TUSCANO CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524142",
            "telephone_number": "702-736-1200",
            "fax_number": "702-736-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 TUSCANO CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524142",
            "telephone_number": "702-736-1200",
            "fax_number": "702-736-6538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DAVIDSON MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "702-736-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "G89324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Ivey, MD
• Tony K Iwakawa, D.P.T.
• Charlotte Janene Izatt, PT
• Stephanie Izquierdo, LCSW
• J C Raroque MD LLC
• J. Lim Behavioral Consulting
• J. Woodson Dermatology & Associates
• James Jabile, MD
• Alec Jacinto
• Jack Nguyen, DDS, PLLC

• Point of Service in Henderson, NV
• Providers in Henderson, NV by specialty
• Point of Service in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2016; 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.