Organization Active NPI

Olwyn K Davies MD PC

  • General Practice Physician
  • Silverton, OR
National Provider Identifier
1255470076
Registry record updated Jan 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MD05350 Issued in OR
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

Updated by the provider on Jan 30, 2013

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
050658MedicaidOR

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.