Active NPI
Debra Ann Davis
- Orthotic Fitter
- Chicago, IL
National Provider Identifier
1295967610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotic Fitter
- Practice address
- 610 S Western Ave
Chicago, IL 60612-3531 - Phone
- (312) 226-9777
- Fax
- (312) 226-9767
- NPI assigned
- Aug 18, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | Primary |
Addresses
Primary practice location
610 S Western Ave
Chicago, IL 60612-3531
Mailing address
610 S Western Ave
Chicago, IL 60612-3531
Phone (312) 226-7145
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250553600000",
"number": "1295967610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123531",
"telephone_number": "312-226-7145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S WESTERN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606123531",
"telephone_number": "312-226-9777",
"fax_number": "312-226-9767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DEBRA",
"middle_name": "ANN",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.