Active NPI
Mary Susan Davis, LAC
- Acupuncturist
- Santa Cruz, CA
National Provider Identifier
1437379120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 8998
- Practice address
- 200 7TH Ave
Santa Cruz, CA 95062-4668 - Phone
- (831) 476-8211
- Fax
- (831) 476-8088
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 8998 | CA | Primary |
Addresses
Primary practice location
200 7TH Ave
Santa Cruz, CA 95062-4668
Mailing address
4454 Starboard CT
Soquel, CA 95073-2157
Phone (831) 476-5529
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437379120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4454 STARBOARD CT",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950732157",
"telephone_number": "831-476-5529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 7TH AVE",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950624668",
"telephone_number": "831-476-8211",
"fax_number": "831-476-8088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MARY",
"middle_name": "SUSAN",
"name_prefix": "Ms.",
"credential": "LAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "CA",
"license": "8998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.