Active NPI
Melvin Allen Davis Jr.
- Case Management Agency
- Oklahoma City, OK
National Provider Identifier
1447511241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- C7187054
- Practice address
- 817 NE 81St St
Oklahoma City, OK 73114-4003 - Phone
- (405) 821-4806
- NPI assigned
- Jun 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | C7187054 | CA | Primary |
Addresses
Primary practice location
817 NE 81St St
Oklahoma City, OK 73114-4003
Mailing address
817 NE 81St St
Oklahoma City, OK 73114-4003
Phone (405) 821-4806
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7187054 | CA | MD | Case Management Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339027200000",
"number": "1447511241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 NE 81ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731144003",
"telephone_number": "405-821-4806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 NE 81ST ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731144003",
"telephone_number": "405-821-4806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MELVIN",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "CA",
"license": "C7187054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.