Organization Active NPI

Chester R Davis MD PA

  • Family Medicine Physician
  • Topeka, KS
National Provider Identifier
1083828404
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04 16732 Issued in KS
Legal business name
CHESTER R DAVIS MD PA
Practice address
1125 SW Gage Blvd
Ste C
Topeka, KS 66604-2280
Phone
(785) 232-7324
Fax
(785) 354-7155
NPI assigned
May 9, 2007
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
Mr. Chester Ray Davis, MD
Title
Physician President Secretary Treas
Phone
(785) 232-7324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 04 16732 KS Primary

Addresses

Primary practice location

1125 SW Gage Blvd
Ste C
Topeka, KS 66604-2280

Mailing address

1125 SW Gage Blvd
Ste C
Topeka, KS 66604-2280
Phone (785) 232-7324

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083828404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 SW GAGE BLVD",
            "address_2": "STE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042280",
            "telephone_number": "785-232-7324",
            "fax_number": "785-354-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 SW GAGE BLVD",
            "address_2": "STE C",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666042280",
            "telephone_number": "785-232-7324",
            "fax_number": "785-354-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER R DAVIS MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "PHYSICIAN PRESIDENT SECRETARY TREAS",
        "authorized_official_telephone_number": "785-232-7324",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04 16732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

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.