Deitron L Davis

Primary specialty

DriverTaxonomy code 172A00000X

License

591190737 Issued in NY

Practice address

55 Malcolm X Blvd FRNT a
New York, NY 10026-3021

Phone

(888) 493-3488

NPI assigned

Feb 25, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1063168276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 SEAGIRT BLVD APT 11L",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913786",
            "telephone_number": "646-956-7916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 MALCOLM X BLVD FRNT A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100263021",
            "telephone_number": "888-493-3488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Malcolm X Blvd Frnt A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100263021",
            "country_code": "US",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DEITRON",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "NY",
            "license": "591190737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deianswer@deiturslanes.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "10526 171st Pl Fl 2",
            "city": "Jamaica",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114331750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Davis, RD
• David John Davis II, D.O.
• Davin Davis, LMSW
• Dayanara P Davis, MS, SLP
• Deborah Rabinovitch Davis, M.S.W.
• Diane L Davis, MSW, LCSW
• Donald Davis
• Eden Alexis Davis, PA
• Eliza P Davis, LCSW
• Elliot R. Davis, DDS

• Driver in New York, NY
• Providers in New York, NY by specialty
• Driver in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.