Daren Richard Davis

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HA2037 Issued in ID

Practice address

107 W 17TH St
Idaho Falls, ID 83402-4223

Phone

(208) 522-1604

Fax

(208) 549-7860

NPI assigned

Dec 4, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1568977296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 W 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024223",
            "telephone_number": "208-522-1604",
            "fax_number": "208-549-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W 17TH ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834024223",
            "telephone_number": "208-522-1604",
            "fax_number": "208-549-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAREN",
        "middle_name": "RICHARD",
        "name_prefix": "Prof.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-12-04",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "WY",
            "license": "177",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "ID",
            "license": "HA2037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Davenport, LMSW
• Crystal David, LSW
• Roger Davies, A.T.,C.
• Stephanie Dawn Davies, CRTT
• Brett Dunford Davis, DMD
• James R Davis, OD
• Jeffrey Davis, LMSW
• Jodi Lyn Davis, LMSW
• Jordan Davis
• Kathryn Davis

• Hearing Instrument Specialist in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Hearing Instrument Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.