NPIMap

Organization Active NPI

Davis Endocrinology and Diabetes LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Layton, UT
National Provider Identifier
1538445820
Registry record updated Feb 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
5804089-1205 Issued in UT
Legal business name
DAVIS ENDOCRINOLOGY AND DIABETES LLC
Practice address
1492 W Antelope Dr
Suite 115
Layton, UT 84041-1139
Phone
(801) 776-8080
Fax
(801) 776-2888
NPI assigned
Oct 31, 2011
Last updated
Feb 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2012

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

Authorized official

Name
Dr. Khaldoun M Al-Rayess, MD
Title
Ceo / Owner
Phone
(801) 776-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 5804089-1205 UT Primary

Addresses

Primary practice location

1492 W Antelope Dr
Suite 115
Layton, UT 84041-1139

Mailing address

PO Box 268
Bountiful, UT 84011-0268
Phone (801) 296-2113

National Provider Directory

National Provider Directory

Locations

1492 W Antelope Dr
#115
Layton, UT 84041
Phone (801) 776-8080

1492 W Antelope Dr
Ste 115
Layton, UT 84041
Phone (801) 776-8080

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328659200000",
    "number": "1538445820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 268",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840110268",
            "telephone_number": "801-296-2113",
            "fax_number": "801-286-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1492 W ANTELOPE DR",
            "address_2": "SUITE 115",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840411139",
            "telephone_number": "801-776-8080",
            "fax_number": "801-776-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS ENDOCRINOLOGY AND DIABETES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2012-02-08",
        "status": "A",
        "authorized_official_last_name": "AL-RAYESS",
        "authorized_official_first_name": "KHALDOUN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "801-776-8080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "UT",
            "license": "5804089-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Layton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2012; 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.