Individual provider Active NPI

Craig Richard Davis, M.D.

  • Anesthesiology Physician
  • Golden, CO
National Provider Identifier
1083973226
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
DR.0058482 Issued in CO
Practice address
1819 Dever West Dr. BLDG 26 Suite 106
Golden, CO 80401
Phone
(303) 422-9438
NPI assigned
May 9, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X DR.0058482 CO Primary

Addresses

Primary practice location

1819 Dever West Dr. BLDG 26 Suite 106
Golden, CO 80401

Mailing address

1819 Denver West Dr. BLDG 26 Suite 200
Golden, CO 80401
Phone (303) 422-9438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20170801003530 CO Practitioner - Anesthesiology 7719137082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Ohio State University College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Anesthesia Services PCGroup PAC ID 7517947146, 112 clinicians

Practice addresses (Care Compare)

12911 W 40TH Ave
Golden, CO 80401-2696
Phone (303) 425-4500

3455 Lutheran Pkwy
Wheat Ridge, CO 80033-6028
Phone (303) 422-9438

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Anesthesia Services PC Anesthesiology CurrentSince Aug 9, 2017 Accepting new patients

Locations

1819 Denver West Dr
Ste 200
Lakewood, CO 80401
Phone 30342294381018

8300 W 38th Ave
Wheat Ridge, CO 80033
Phone (303) 425-2015

Organizations & group practices 1

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 33

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

View all 33

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1083973226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 DENVER WEST DR. BLDG 26 SUITE 200",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-422-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 DEVER WEST DR. BLDG 26 SUITE 106",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "80401",
            "telephone_number": "303-422-9438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CRAIG",
        "middle_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CO",
            "license": "DR.0058482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Golden, CO

Sources for this page

Verify at the official NPI Registry.