Individual provider Active NPI

Daniel L Davies, DO

  • Internal Medicine Physician
  • Portsmouth, NH
National Provider Identifier
1083683833
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
13450 Issued in NH
Practice address
155 Borthwick Ave
Suite 202W
Portsmouth, NH 03801-7156
Phone
(603) 433-8434
Fax
(603) 436-6608
NPI assigned
Mar 15, 2006
Last updated
Jan 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000317 CT
Internal Medicine Physician 207R00000X 13450 NH Primary

Addresses

Primary practice location

155 Borthwick Ave
Suite 202W
Portsmouth, NH 03801-7156

Mailing address

155 Borthwick Ave
Suite 202W
Portsmouth, NH 03801-7156
Phone (603) 433-8434

Other identifiers 1

IdentifierTypeStateIssuer
3082880MedicaidNH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address DANIEL.DAVIES@hca6.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071004000231 NH Practitioner - Internal Medicine 5991759805 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of New England, College of Osteo Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Appledore Medical Group IncGroup PAC ID 5698666154, 197 clinicians

Practice addresses (Care Compare)

155 Borthwick Ave
Portsmouth, NH 03801-7156

330 Borthwick Ave
Suite 102
Portsmouth, NH 03801-4101
Phone (603) 334-2006

330 Borthwick Ave
Suite 308
Portsmouth, NH 03801-7112
Phone (603) 431-5242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
13450NHMDInternal Medicine Physician
000317CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appledore Medical Group, Inc Internal Medicine CurrentSince Jul 1, 2007 Accepting new patients
Appledore Medical Group, Inc. Past Accepting new patients

Locations

330 Borthwick Ave
Ste 201
Portsmouth, NH 03801
Phone (603) 431-5242

330 Borthwick Ave
Ste 308
Portsmouth, NH 03801
Phone (603) 431-5242

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: daniel.davies@hca6.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEFEBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1083683833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE",
            "address_2": "SUITE 202W",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017156",
            "telephone_number": "603-433-8434",
            "fax_number": "603-436-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVE",
            "address_2": "SUITE 202W",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038017156",
            "telephone_number": "603-433-8434",
            "fax_number": "603-436-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "DANIEL",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "000317",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "13450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082880",
            "state": "NH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DANIEL.DAVIES@hca6.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "155 Borthwick Ave",
            "address_2": "SUITE 202W",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038017156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.