Active NPI
David Davis
- Taxi
- Riverhead, NY
National Provider Identifier
1396282372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- 352432166
- Practice address
- 454 Riverleigh Ave
Riverhead, NY 11901-3614 - Phone
- (631) 413-8218
- NPI assigned
- Jan 27, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Taxi | 344600000X | 352432166 | NY | Primary |
Addresses
Primary practice location
454 Riverleigh Ave
Riverhead, NY 11901-3614
Mailing address
454 Riverleigh Ave
Riverhead, NY 11901-3614
Phone (631) 413-8218
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 |
|---|---|---|---|
| 352432166 | NY | MD | Taxi |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485475200000",
"number": "1396282372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "454 RIVERLEIGH AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119013614",
"telephone_number": "631-413-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "454 RIVERLEIGH AVE",
"city": "RIVERHEAD",
"state": "NY",
"postal_code": "119013614",
"telephone_number": "631-413-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DAVID",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-27",
"last_updated": "2017-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "344600000X",
"taxonomy_group": "",
"desc": "Taxi",
"state": "NY",
"license": "352432166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverhead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.