Active NPI
Cody Edward Davis
- Athletic Trainer
- Towson, MD
National Provider Identifier
1174087332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- D-120-122-189-128
- Practice address
- 8423 Greenway Rd
Towson, MD 21286-8706 - Phone
- (410) 949-6446
- NPI assigned
- Jan 22, 2019
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | D-120-122-189-128 | MD | Primary |
Addresses
Primary practice location
8423 Greenway Rd
Towson, MD 21286-8706
Mailing address
8423 Greenway Rd
Towson, MD 21286-8706
Phone (410) 949-6446
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-120-122-189-128 | MD | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548115200000",
"number": "1174087332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8423 GREENWAY RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212868706",
"telephone_number": "410-949-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8423 GREENWAY RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212868706",
"telephone_number": "410-949-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "CODY",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2019-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MD",
"license": "D-120-122-189-128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.