Active NPI
Olwyn K Davies MD PC
- General Practice Physician
- Silverton, OR
National Provider Identifier
1255470076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- MD05350
- Legal business name
- OLWYN K DAVIES MD PC
- Practice address
- 410 Welch Street
Silverton, OR 97381 - Phone
- (503) 873-5331
- Fax
- (503) 873-8513
- NPI assigned
- Feb 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Olwyn Kenneth Davies, MD
- Title
- Owner
- Phone
- (503) 873-5331
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | MD05350 | OR | Primary |
Addresses
Primary practice location
410 Welch Street
Silverton, OR 97381
Mailing address
PO Box 537
410 Welch Street
Silverton, OR 97381
Phone (503) 873-5331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050658 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
410 Welch St
Silverton, OR 97381
Phone (503) 873-5331
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1359504000000",
"number": "1255470076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 537",
"address_2": "410 WELCH STREET",
"city": "SILVERTON",
"state": "OR",
"postal_code": "97381",
"telephone_number": "503-873-5331",
"fax_number": "503-873-8513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 WELCH STREET",
"city": "SILVERTON",
"state": "OR",
"postal_code": "97381",
"telephone_number": "503-873-5331",
"fax_number": "503-873-8513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLWYN K DAVIES MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-06",
"last_updated": "2013-01-30",
"status": "A",
"authorized_official_last_name": "DAVIES",
"authorized_official_first_name": "OLWYN",
"authorized_official_middle_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "503-873-5331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "OR",
"license": "MD05350",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "050658",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Silverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.