Individual provider Active NPI

Alvin V Davis III, MD

  • Diagnostic Radiology Physician
  • Denison, TX
National Provider Identifier
1629024989
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
N1607 Issued in TX
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

Updated by the provider on May 15, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200782502MedicaidTX
201048907MedicaidMO
200223770MedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090124000024 TX Practitioner - Diagnostic RadiologyPractitioner - Interventional 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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.