Active NPI
Willie Ray Davis, R.M.T.
- Specialist
- Helotes, TX
National Provider Identifier
1366524894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MT038556
- Practice address
- 11844 Bandera Road
276
Helotes, TX 78023-4132 - Phone
- (830) 612-2863
- Fax
- (830) 612-2863
- NPI assigned
- Oct 20, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | MT038556 | TX | Primary |
Addresses
Primary practice location
11844 Bandera Road
276
Helotes, TX 78023-4132
Mailing address
11844 Bandera Rd
276
Helotes, TX 78023-4132
Phone (830) 612-2863
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT038556 | TX | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366524894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11844 BANDERA RD",
"address_2": "276",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234132",
"telephone_number": "830-612-2863",
"fax_number": "830-613-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11844 BANDERA ROAD",
"address_2": "276",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234132",
"telephone_number": "830-612-2863",
"fax_number": "830-612-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "WILLIE",
"middle_name": "RAY",
"name_prefix": "Mr.",
"credential": "R.M.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "MT038556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Helotes, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.