Organization Active NPI

Daniel Davies, DPM

  • Durable Medical Equipment & Medical Supplies
  • East Islip, NY
National Provider Identifier
1487963880
Registry record updated Oct 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N004378 Issued in NY
Legal business name
DANIEL DAVIES, DPM
Practice address
252 E Main St
East Islip, NY 11730-2722
Phone
(631) 581-8828
Fax
(631) 581-0545
NPI assigned
Oct 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2010

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

Authorized official

Name
Daniel A Davies, DPMNPI 1598766206
Title
Sole Proprietor
Phone
(631) 581-8828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N004378 NY Primary
Customized Equipment (DME) 332BC3200X N004378 NY

Addresses

Primary practice location

252 E Main St
East Islip, NY 11730-2722

Mailing address

252 E Main St
East Islip, NY 11730-2722
Phone (631) 581-8828

Other identifiers 2

IdentifierTypeStateIssuer
01108938-8MedicaidNY
1003082884OtherNYDMERC

National Provider Directory

National Provider Directory
Tax ID family
Daniel Davies3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285977600000",
    "number": "1487963880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302722",
            "telephone_number": "631-581-8828",
            "fax_number": "631-581-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 E MAIN ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117302722",
            "telephone_number": "631-581-8828",
            "fax_number": "631-581-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL DAVIES, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-02",
        "last_updated": "2010-10-02",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "631-581-8828",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N004378",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N004378",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01108938-8",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1003082884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.