Lawrence Anthony Davis, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

Practice address

1882 E 104TH Ave
#936
Thornton, CO 80233-4309

Phone

(720) 363-3145

NPI assigned

Apr 21, 2010

Last updated

Nov 5, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Woke

  • Surgical Assistant
  • Thornton, CO
  • NPI 1457822975
  NPD Authorized official
• Made LLC

  dba Lawrence A. Davis

  • Surgical Physician Assistant
  • Thornton, CO
  • NPI 1366784167
  NPD (past) Authorized official

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

{
    "created_epoch": "1271808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1275850802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321288",
            "telephone_number": "218-324-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1882 E 104TH AVE",
            "address_2": "#936",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802334309",
            "telephone_number": "720-363-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAWRENCE",
        "middle_name": "ANTHONY",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-21",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CO",
            "license": "SA0001520",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Jean Daugherty
• Maeve David, MSW
• Alexandra Davidson, MS
• Alvin Matthew Davis, PSYD
• April Davis
• Maranda Jo Davis, LPC
• Margaret Ann Davis, MA
• Marnita Davis
• Matthew S Davis, D.D.S.
• Safiya Dawlatzai

• Surgical Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Surgical Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.