Individual provider Active NPI

Christian Emil Davis, DPM

  • Podiatrist
  • Danbury, CT
National Provider Identifier
1164452264
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000753 Issued in CT
Practice address
8 Germantown Rd
Danbury, CT 06810-5037
Phone
(203) 748-2220
NPI assigned
Jul 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 000753 CT Primary

Addresses

Primary practice location

8 Germantown Rd
Danbury, CT 06810-5037

Mailing address

8 Germantown Rd
Danbury, CT 06810-5037
Phone (203) 748-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100909000815 CT Practitioner - Podiatry 5092801084 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of Connecticut , PCGroup PAC ID 8022104017, 2 clinicians

Practice addresses (Care Compare)

6 Germantown Rd
Danbury, CT 06810-5027
Phone (203) 748-2220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue410
Removal of skin lesions1-10
Removal of nail tissue965
Removal or shaving of skin growth900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000753CTMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of Connecticut , PC Podiatrist CurrentSince Jul 1, 2002 Accepting new patients
Foot & Ankle Specialists of CT Podiatrist CurrentSince Jul 1, 2002 Accepting new patients
Danbury Hospital CurrentSince Aug 1, 2013 Accepting new patients
Danbury Hospital CurrentSince Aug 1, 2013 Accepting new patients

Locations

20 Germantown Rd
Danbury, CT 06810
Phone (203) 739-4820

6 Germantown Rd
Danbury, CT 06810
Phone (203) 748-2220

7 Pickett District Rd
New Milford, CT 06776
Phone (860) 354-3989

21 Cooke St
Plainville, CT 06062
Phone (860) 747-2200

Organizations & group practices 4

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164452264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 GERMANTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105037",
            "telephone_number": "203-748-2220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GERMANTOWN RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105037",
            "telephone_number": "203-748-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTIAN",
        "middle_name": "EMIL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CT",
            "license": "000753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danbury, CT

Sources for this page

Verify at the official NPI Registry.