Active NPI
Thomas Porter Davis, M.D.
- Family Medicine Physician
- Dickerson, MD
National Provider Identifier
1104148543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D0050839
- Practice address
- 18520 Barnesville Rd
Dickerson, MD 20842-9791 - Phone
- (301) 349-2886
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D0050839 | MD | Primary |
Addresses
Primary practice location
18520 Barnesville Rd
Dickerson, MD 20842-9791
Mailing address
18520 Barnesville Rd
Dickerson, MD 20842-9791
Phone (301) 349-2886
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1104148543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18520 BARNESVILLE RD",
"city": "DICKERSON",
"state": "MD",
"postal_code": "208429791",
"telephone_number": "301-349-2886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18520 BARNESVILLE RD",
"city": "DICKERSON",
"state": "MD",
"postal_code": "208429791",
"telephone_number": "301-349-2886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "THOMAS",
"middle_name": "PORTER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D0050839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dickerson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.