Chad Arwyn Davies

Primary specialty

DriverTaxonomy code 172A00000X

Practice address

717 W Eldredge Rd
Pocatello, ID 83201-5620

Phone

(208) 480-1250

NPI assigned

Nov 2, 2017

Last updated

Nov 2, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Pocatello Limousine LLP

  • Private Vehicle
  • Pocatello, ID
  • NPI 1245742097
  NPD (past) Authorized official

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

{
    "created_epoch": "1509580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509580800000",
    "number": "1174035927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 W ELDREDGE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015620",
            "telephone_number": "208-480-1250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 W ELDREDGE RD",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832015620",
            "telephone_number": "208-480-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "CHAD",
        "middle_name": "ARWYN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-02",
        "last_updated": "2017-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922463751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ralph L Daniels
• Jeffrey M Davenport, PT
• Robert Davenport
• David R Donaldson M.D., PLLC
• Joanna Kelley Davidson, M.S., R.D., L.D.
• Pamela L. Davies, LCPC
• Patricia Davies, RN
• Pilar Davila, PHARMD
• Amber Kristine Davis, M.A. CCC-SLP
• Birdee Lynne Davis, PTA

• Driver in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Driver in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.