Individual provider Active NPI

Nell L. Davis, MD

  • Family Medicine Physician
  • Centennial, CO
National Provider Identifier
1437228780
Registry record updated May 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27533 Issued in CO
Practice address
5161 E Arapahoe Rd
Suite 290
Centennial, CO 80122-4810
Phone
(720) 488-0055
Fax
(720) 488-3955
NPI assigned
Nov 8, 2006
Last updated
May 28, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2013

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 27533 CO Primary

Addresses

Primary practice location

5161 E Arapahoe Rd
Suite 290
Centennial, CO 80122-4810

Mailing address

5161 E Arapahoe Rd
Suite 290
Centennial, CO 80122-4810
Phone (720) 488-0055

Other identifiers 1

IdentifierTypeStateIssuer
01275338MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080920000127 CO Practitioner - Family Practice 9335247378

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27533COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mednow Clinics, Inc CurrentSince Jun 5, 2023 Accepting new patients
Oasis Family Practice PC Past Accepting new patients

Locations

5161 E Arapahoe Rd
Ste 290
Centennial, CO 80122
Phone (720) 488-0055

15101 E Iliff Ave
Ste 140
Denver, CO 80014
Phone (303) 584-7850

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369699200000",
    "number": "1437228780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "SUITE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224810",
            "telephone_number": "720-488-0055",
            "fax_number": "720-488-3955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5161 E ARAPAHOE RD",
            "address_2": "SUITE 290",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801224810",
            "telephone_number": "720-488-0055",
            "fax_number": "720-488-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NELL",
        "middle_name": "L.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2013-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "27533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01275338",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centennial, CO

Sources for this page

Verify at the official NPI Registry.