Individual provider Active NPI

Christopher Michael Davis, M.D.

  • Family Medicine Physician
  • Yuma, AZ
National Provider Identifier
1427222736
Registry record updated Apr 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101256106 Issued in VA
Practice address
2917 East Hart Street
Marine Corps Air Station
Yuma, AZ 85369
Phone
(928) 269-2700
Fax
(928) 269-3184
NPI assigned
Apr 17, 2008
Last updated
Apr 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101256106 VA Primary

Addresses

Primary practice location

2917 East Hart Street
Marine Corps Air Station
Yuma, AZ 85369

Mailing address

12105 E Via Loma Vis
Yuma, AZ 85367-9054
Phone (012) 292-7229

Other practice location 1

2917 East Hart Street
Marine Corps Air Station
Yuma, AZ 85369
Phone (928) 269-2700

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
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101256106VAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523232000000",
    "number": "1427222736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12105 E VIA LOMA VIS",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853679054",
            "telephone_number": "012-292-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2917 EAST HART STREET",
            "address_2": "MARINE CORPS AIR STATION",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "85369",
            "telephone_number": "928-269-2700",
            "fax_number": "928-269-3184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2917 East Hart Street",
            "address_2": "Marine Corps Air Station",
            "address_purpose": "LOCATION",
            "city": "Yuma",
            "state": "AZ",
            "postal_code": "85369",
            "country_code": "US",
            "telephone_number": "928-269-2700",
            "fax_number": "928-269-3184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-17",
        "last_updated": "2018-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101256106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2018; 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.