Active NPI
Terry Davis, PA
- Physician Assistant
- Las Vegas, NV
National Provider Identifier
1093737371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 584
- Practice address
- 6170 N Durango Dr Ste 120
Las Vegas, NV 89149-3923 - Phone
- (702) 430-5333
- Fax
- (702) 430-5335
- NPI assigned
- Jul 24, 2006
- Last updated
- Sep 14, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 584 | NV | Primary |
Addresses
Primary practice location
6170 N Durango Dr Ste 120
Las Vegas, NV 89149-3923
Mailing address
9097 W Post Rd
Ste 100
Las Vegas, NV 89148-2417
Phone (702) 430-5333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00377724 | Other | NV | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9097 W Post Rd
Suite 100
Las Vegas, NV 89148-2417
Phone (702) 430-5333
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| J. Robert West, M.D., Inc | Past | Accepting new patients | |
| Douglas a. Thomas, MD | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Dermatology Physician
- Las Vegas, NV
- NPI 1922279496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600041600000",
"number": "1093737371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 W POST RD",
"address_2": "STE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482417",
"telephone_number": "702-430-5333",
"fax_number": "702-430-5335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6170 N DURANGO DR STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891493923",
"telephone_number": "702-430-5333",
"fax_number": "702-430-5335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TERRY",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2020-09-14",
"certification_date": "2020-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "584",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00377724",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.