Active NPI
Richard M Davis, M.D.
- Ophthalmology Physician
- Chapel Hill, NC
National Provider Identifier
1528022605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 13465
- Practice address
- 5151 Bioinformatics
Campus Box 7040
Chapel Hill, NC 27599-0001 - Phone
- (919) 966-5296
- Fax
- (919) 966-1908
- NPI assigned
- Apr 14, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 13465 | SC | Primary |
Addresses
Primary practice location
5151 Bioinformatics
Campus Box 7040
Chapel Hill, NC 27599-0001
Mailing address
5151 Bioinformatics Building
Campus Box # 7040
Chapel Hill, NC 27599
Phone (919) 966-5296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TL5633 | Medicaid | SC |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13465 | SC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Specialty Clinics - Ophthalmology | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Columbia, SC
- NPI 1275561771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235088000000",
"number": "1528022605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5151 BIOINFORMATICS BUILDING",
"address_2": "CAMPUS BOX # 7040",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "27599",
"telephone_number": "919-966-5296",
"fax_number": "919-955-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 BIOINFORMATICS",
"address_2": "CAMPUS BOX 7040",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275990001",
"telephone_number": "919-966-5296",
"fax_number": "919-966-1908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2009-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "SC",
"license": "13465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TL5633",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.