Stacy Erin Davis, DOM, DIPL. OM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

934 Issued in NM

Practice address

136 Cole Shopping Ctr
Cheyenne, WY 82001-5366

Phone

(307) 286-7222

NPI assigned

Sep 26, 2008

Last updated

Sep 26, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222387200000",
    "number": "1417107475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3119 FOREST DR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015713",
            "telephone_number": "307-514-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 COLE SHOPPING CTR",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820015366",
            "telephone_number": "307-286-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "STACY",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "DOM, DIPL. OM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NM",
            "license": "934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Ann Davis, MD
• Preston Andrew Davis
• Randall Thomasson Davis, D.D.S.
• Shadi Alikhani Davis, M.D.
• Sharon Davis
• Susan Ann Davis
• Rene Marie Davison, LCSW
• Meagan Day, RDN
• Gabriel Deal, DC, MS
• Patricia Deason, RN

• Acupuncturist in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Acupuncturist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.