Active NPI
Alvin V Davis III, MD
- Diagnostic Radiology Physician
- Denison, TX
National Provider Identifier
1629024989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- N1607
- Practice address
- 5016 S US Highway 75
Radiology Dept
Denison, TX 75020-4584 - Phone
- (903) 892-1131
- Fax
- (903) 327-8023
- NPI assigned
- May 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2006008741 | MO | |
| Specialist | 174400000X | 26730 | OK | |
| Diagnostic Radiology Physician | 2085R0202X | N1607 | TX | Primary |
Addresses
Primary practice location
5016 S US Highway 75
Radiology Dept
Denison, TX 75020-4584
Mailing address
PO Box 340
Sherman, TX 75091-0340
Phone (903) 892-1131
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200782502 | Medicaid | TX | |
| 201048907 | Medicaid | MO | |
| 200223770 | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090124000024 | TX | Practitioner - Diagnostic Radiology | 7810909439 | |
| I20090204000048 | OK | Practitioner - Diagnostic Radiology | 7810909439 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Radiology Associates, PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Advanced Medical Imaging of North Texas LP | Diagnostic Radiology | Past | Accepting new patients |
| Fred Smeltzer MD & Associates Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Sherman, TX
- NPI 1942489125
-
- Diagnostic Radiology Physician
- Osage Beach, MO
- NPI 1639122286
-
- Diagnostic Radiology Physician
- Paducah, KY
- NPI 1457440893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400112000000",
"number": "1629024989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 340",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750910340",
"telephone_number": "903-892-1131",
"fax_number": "903-327-8023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5016 S US HIGHWAY 75",
"address_2": "RADIOLOGY DEPT",
"city": "DENISON",
"state": "TX",
"postal_code": "750204584",
"telephone_number": "903-892-1131",
"fax_number": "903-327-8023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ALVIN",
"middle_name": "V",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2014-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2006008741",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "OK",
"license": "26730",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "N1607",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200782502",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201048907",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200223770",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denison, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.