Active NPI
Miryam M Davis
- Neuromusculoskeletal Medicine & OMM Physician
- Washington, DC
National Provider Identifier
1609949254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- MD4085
- Practice address
- 106 Irving St NW
#206
Washington, DC 20010-2927 - Phone
- (202) 291-7300
- Fax
- (202) 726-6031
- NPI assigned
- Nov 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | MD4085 | DC | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | MD4085 | DC |
Addresses
Primary practice location
106 Irving St NW
#206
Washington, DC 20010-2927
Mailing address
7012 River Rd
Bethesda, MD 20817-4752
Phone (301) 229-6250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 022868200 | Medicaid | DC |
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 |
|---|---|---|---|
| MD4085 | DC | MD | Neurology with Special Qualifications in Child Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WHC Physician Group LLC | Past | Accepting new patients | |
| Enrique a Robles MD PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Washington, DC
- NPI 1912211954
-
- General Practice Physician
- Washington, DC
- NPI 1700154226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1609949254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7012 RIVER RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208174752",
"telephone_number": "301-229-6250",
"fax_number": "301-320-3590"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 IRVING ST NW",
"address_2": "#206",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102927",
"telephone_number": "202-291-7300",
"fax_number": "202-726-6031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "MIRYAM",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-15",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "DC",
"license": "MD4085",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "DC",
"license": "MD4085",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022868200",
"state": "DC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.