Active NPI
Todd Davis, D.O.
- Emergency Medicine Physician
- Chandler, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3745
- Practice address
- 475 S Dobson Rd
Chandler, AZ 85224-5605 - Phone
- (480) 917-1648
- NPI assigned
- May 25, 2006
- Last updated
- Apr 21, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 3745 | AZ | |
| Undersea and Hyperbaric Medicine (Emergency Medicine) Physician | 207PE0005X | 3745 | AZ | |
| Emergency Medicine Physician | 207P00000X | 3745 | AZ | Primary |
Addresses
Primary practice location
475 S Dobson Rd
Chandler, AZ 85224-5605
Mailing address
12205 N 138TH St
Scottsdale, AZ 85259-3761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0736120 | Other | AZ | BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3745 | AZ | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chandler Emergency Medical Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Critical Care Consultants LLC | Current | Accepting new patients | |
| Valley Hyperbarics LLC | Current | Accepting new patients | |
| Ingenuity Medical Group LLC | Emergency Medicine | Past | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000
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.
-
dba Premier Emergency Medical Specialists
- Emergency Medicine Physician
- Chandler, AZ
- NPI 1104871961
-
- Personal Emergency Response Attendant
- Chandler, AZ
- NPI 1760439244
-
- Critical Care Medicine (Internal Medicine) Physician
- Gilbert, AZ
- NPI 1669511432
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1417986118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271808000000",
"number": "1457307282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12205 N 138TH ST",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852593761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 S DOBSON RD",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245605",
"telephone_number": "480-917-1648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-25",
"last_updated": "2010-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "AZ",
"license": "3745",
"primary": false
},
{
"code": "207PE0005X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
"state": "AZ",
"license": "3745",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "AZ",
"license": "3745",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "AZ0736120",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.