Individual provider Active NPI

David A Davis, MD FACS

  • Ophthalmology Physician
  • Colorado Springs, CO
National Provider Identifier
1447246517
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
50609 Issued in CO
Practice address
6760 Corporate Dr Ste 180
Colorado Springs, CO 80919-5905
Phone
(719) 272-4227
Fax
(719) 272-3834
NPI assigned
Sep 23, 2005
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 50609 CO Primary

Addresses

Primary practice location

6760 Corporate Dr Ste 180
Colorado Springs, CO 80919-5905

Mailing address

6760 Corporate Dr Ste 180
Colorado Springs, CO 80919-5905
Phone (719) 272-4227

Other identifiers 2

IdentifierTypeStateIssuer
A07634OtherCOEYEMED INS
948991176AMedicaidGA

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
I20120201000306 CO Practitioner - Ophthalmology 8224070800 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50609COMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G. Haas M.D., LLC Ophthalmology CurrentSince Jun 1, 2018 Accepting new patients
Berg Eye Center, PC Ophthalmology Past Accepting new patients
Eye Center of Northern Colorado, P.C. Ophthalmology PastSince Sep 5, 2021 Accepting new patients
Berg Eye Center, P. C. Past Accepting new patients

Locations

6385 Corporate Dr
Ste 307
Colorado Springs, CO 80919
Phone (719) 219-9751

6760 Corporate Dr
Ste 180
Colorado Springs, CO 80919
Phone (719) 272-4227

Interoperability endpoints

  • Direct secure messaging: david.davis@corhio.medicity.net

Organizations & group practices 4

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": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1447246517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6760 CORPORATE DR STE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809195905",
            "telephone_number": "719-272-4227",
            "fax_number": "719-632-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6760 CORPORATE DR STE 180",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809195905",
            "telephone_number": "719-272-4227",
            "fax_number": "719-272-3834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CO",
            "license": "50609",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED INS",
            "identifier": "A07634",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948991176A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.