Victor M Davis, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6402 Issued in MT

Practice address

101 Arrow St
St Ignatius, MT 59865-0679

Phone

(406) 745-4444

Fax

(406) 745-4907

NPI assigned

Sep 15, 2006

Last updated

Oct 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1386740462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 679",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598650679",
            "telephone_number": "406-745-4444",
            "fax_number": "406-745-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ARROW ST",
            "city": "ST IGNATIUS",
            "state": "MT",
            "postal_code": "598650679",
            "telephone_number": "406-745-4444",
            "fax_number": "406-745-4907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "VICTOR",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "6402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012478",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "870023511",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "95610",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarice Louise Cooper, BSN, RN
• Simon Crawford, PA-C
• Julie A. Cross, DENTAL HYGIENIST
• Nicole Crouch, R.D.
• Nancy Leigh Dalton-Johnson, RPH
• Dillon William Delaney
• Sarah Irene Dempsey, SWLC
• Ursula Anna Dieterle, P.T.
• Tanner L. Diggs, DENTIST
• Taylor Diggs, DMD

• Family Medicine Physician in St Ignatius, MT
• Providers in St Ignatius, MT by specialty
• Family Medicine Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.