Richard Davis, MD, FACS

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

ME64358 Issued in FL

Practice address

1951 SW 172ND Ave
Suite 205
Miramar, FL 33029-5593

Phone

(954) 442-5191

Fax

(786) 228-2853

NPI assigned

Jul 11, 2006

Last updated

Jun 19, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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.

• The Center for Facial Restoration, Incorporated

  • Otolaryngology/Facial Plastic Surgery Physician
  • Miramar, FL
  • NPI 1861877979
  NPD (past) Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434672000000",
    "number": "1346275443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2504 EAGLE RUN DR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333271427",
            "telephone_number": "954-389-9447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 SW 172ND AVE",
            "address_2": "SUITE 205",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295593",
            "telephone_number": "954-442-5191",
            "fax_number": "786-228-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2015-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME64358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3734731-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David M. Steiner D.C. PA
• Angelica Davila, DC
• Kimberly Davis
• Natalee Davis
• Oneka Tiffany Dyema Davis, MSW
• Susan Davis, ARNP
• Valen Verona Davis, ARNP
• Tanisha Del Carmen Dawkins, APRN
• Olive May Daye, ARNP
• Ana Maria Daza Espinal

• Otolaryngology/Facial Plastic Surgery Physician in Miramar, FL
• Providers in Miramar, FL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.