NPIMap

Organization Active NPI

Meredith Davenport MD PLLC

  • Obstetrics & Gynecology Physician
  • Kyle, TX
National Provider Identifier
1316254469
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L6341 Issued in TX
Legal business name
MEREDITH DAVENPORT MD PLLC
Practice address
6001 Kyle Pkwy
Kyle, TX 78640-6112
Phone
(858) 876-2496
Fax
(512) 717-7547
NPI assigned
Sep 10, 2010
Last updated
Dec 30, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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

Authorized official

Name
Meredith Davenport, MDNPI 1891855243
Title
Owner
Phone
(512) 268-0286

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L6341 TX Primary

Addresses

Primary practice location

6001 Kyle Pkwy
Kyle, TX 78640-6112

Mailing address

153 Champion Cir
Wimberley, TX 78676-3321
Phone (512) 871-0204

National Provider Directory

National Provider Directory

Locations

1180 Seton Pkwy
#240A
Kyle, TX 78640
Phone (512) 757-9241

1180 Seton Pkwy
Ste 240A
Kyle, TX 78640
Phone (512) 268-0268

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577664000000",
    "number": "1316254469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 CHAMPION CIR",
            "city": "WIMBERLEY",
            "state": "TX",
            "postal_code": "786763321",
            "telephone_number": "512-871-0204",
            "fax_number": "512-717-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 KYLE PKWY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786406112",
            "telephone_number": "858-876-2496",
            "fax_number": "512-717-7547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH DAVENPORT MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-10",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-268-0286",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L6341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.

Verify at the official NPI Registry.