Kirk W Davis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC002071L Issued in PA

Practice address

601 Wayne Ave
Chambersburg, PA 17201-3805

Phone

(717) 267-2255

Fax

(717) 262-6385

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345507200000",
    "number": "1508852849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WAYNE AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013805",
            "telephone_number": "717-267-2255",
            "fax_number": "717-262-6385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 WAYNE AVE",
            "city": "CHAMBERSBURG",
            "state": "PA",
            "postal_code": "172013805",
            "telephone_number": "717-267-2255",
            "fax_number": "717-262-6385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KIRK",
        "middle_name": "W",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2012-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC002071L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001650028",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Darius
• Cassandria Darrow, MSW, LSW
• Harold Carter Davidson, MD, PHD
• Daniel Thomas Davis, M.D.
• Jennifer Jan Davis, MA CCC-SLP
• Korbin L Davis
• Michael Davis, CRNA
• Timothy Alan Davis, PSYD
• Whitney Renee Davis, OTR/L
• William Lee Davis, MD

• Podiatrist in Chambersburg, PA
• Providers in Chambersburg, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.