Javier Davila, M.D.

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

042733 Issued in CT

Practice address

1 Audubon St
Suite 201
New Haven, CT 06511-6433

Phone

(203) 562-7662

Fax

(203) 562-7663

NPI assigned

Jun 14, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Advanced Audiology & Hearing Aid Services

  • Audiologist
  • Danbury, CT
  • NPI 1861677031
  NPD (past)
• Saint Raphael Faculty Physicians

  • Internal Medicine Physician
  • New Haven, CT
  • NPI 1932138138
  NPD (past)
• Saint Raphael Healthcare System Affiliated Physicians Inc

  • Neurology Physician
  • New Haven, CT
  • NPI 1063744001
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1366447732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 AUDUBON ST",
            "address_2": "SUITE 201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116433",
            "telephone_number": "203-562-7662",
            "fax_number": "203-562-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 AUDUBON ST",
            "address_2": "SUITE 201",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065116433",
            "telephone_number": "203-562-7662",
            "fax_number": "203-562-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVILA",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "042733",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CT",
            "license": "042733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001427336",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Natalie Davidson
• Sarah Davidson, MD
• Emily Elizabeth Davie, ATC
• Marianne Jeanette Davies, APRN
• Carlos Daniel Davila Chiquin, M.D.
• Tara Sanabria Davila, LCSW
• Davis Group LLC
• Amy L. Davis, APRN
• Benjamin S Davis, PHARM.D.
• Charles Francis Davis Jr., M.ED.

• Plastic and Reconstructive Surgery Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Plastic and Reconstructive Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.