Organization Active NPI

Daniel N Davidow, M.D., P.C.

  • Pediatric Adolescent Medicine Physician
  • New Kent, VA
National Provider Identifier
1053478867
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
0101034211 Issued in VA
Legal business name
DANIEL N DAVIDOW, M.D., P.C.
Practice address
9407 Cumberland Rd
New Kent, VA 23124-2029
Phone
(804) 866-2242
Fax
(804) 966-5639
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Authorized official

Name
Dr. Daniel Nelson Davidow, M.D.
Title
President
Phone
(804) 966-2242

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 0101049601 VA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 0101029182 VA
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X 0101034211 VA Primary

Addresses

Primary practice location

9407 Cumberland Rd
New Kent, VA 23124-2029

Mailing address

8001 Franklin Farms Dr
Suite 127
Richmond, VA 23229-5108
Phone (804) 282-9133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257206400000",
    "number": "1053478867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 FRANKLIN FARMS DR",
            "address_2": "SUITE 127",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232295108",
            "telephone_number": "804-282-9133",
            "fax_number": "804-282-9135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9407 CUMBERLAND RD",
            "city": "NEW KENT",
            "state": "VA",
            "postal_code": "231242029",
            "telephone_number": "804-866-2242",
            "fax_number": "804-966-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL N DAVIDOW, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2009-11-03",
        "status": "A",
        "authorized_official_last_name": "DAVIDOW",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-966-2242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049601",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101029182",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "VA",
            "license": "0101034211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Kent, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.