Organization Active NPI

Denise L. Davis, MD, LLC

  • Physical Medicine & Rehabilitation Physician
  • Columbus, OH
National Provider Identifier
1447572672
Registry record updated Feb 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
35070310 Issued in OH
Legal business name
DENISE L. DAVIS, MD, LLC
Practice address
114 W 3Rd Ave
Columbus, OH 43201-3211
Phone
(614) 299-9320
Fax
(614) 299-9321
NPI assigned
Feb 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2010

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

Authorized official

Name
Dr. Denise L. Davis, M.D.
Title
President
Phone
(614) 299-9320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 35070310 OH Primary

Addresses

Primary practice location

114 W 3Rd Ave
Columbus, OH 43201-3211

Mailing address

PO Box 8396
Columbus, OH 43201-0396
Phone (614) 299-9320

Other identifiers 1

IdentifierTypeStateIssuer
2911399MedicaidOH

National Provider Directory

National Provider Directory

Locations

114 W 3rd Ave
Columbus, OH 43201
Phone (614) 299-9320

NPI Registry JSON

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266192000000",
    "number": "1447572672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8396",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432010396",
            "telephone_number": "614-299-9320",
            "fax_number": "614-299-9321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 3RD AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432013211",
            "telephone_number": "614-299-9320",
            "fax_number": "614-299-9321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENISE L. DAVIS, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2010-02-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-299-9320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OH",
            "license": "35070310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2911399",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2010; 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.