Individual provider Active NPI

Donald Lee Davis

  • Taxi
  • Castle Rock, CO
National Provider Identifier
1629613310
Registry record updated Nov 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
LL-03041 Issued in CO
Practice address
1459 Wild Blossom Way
Castle Rock, CO 80104-7635
Phone
(225) 270-5055
Fax
(303) 663-7476
NPI assigned
Nov 17, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X LL-03041 CO
Transportation Broker 347E00000X LL-03041 CO
Taxi 344600000X LL-03041 CO Primary

Addresses

Primary practice location

1459 Wild Blossom Way
Castle Rock, CO 80104-7635

Mailing address

1459 Wild Blossom Way
Castle Rock, CO 80104-7635
Phone (225) 270-5055

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LL-03041COMDTransportation Broker

Practice roles

OrganizationSpecialtyStatusNew patients
Travel Paradise Vacations Taxi CurrentSince Feb 2, 2020 Accepting new patients
Travel Paradise Vacations PastSince Nov 24, 2019 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.

NPI Registry JSON

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

{
    "created_epoch": "1573948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573948800000",
    "number": "1629613310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1459 WILD BLOSSOM WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047635",
            "telephone_number": "225-270-5055",
            "fax_number": "303-663-7476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1459 WILD BLOSSOM WAY",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801047635",
            "telephone_number": "225-270-5055",
            "fax_number": "303-663-7476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DONALD",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-17",
        "last_updated": "2019-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "CO",
            "license": "LL-03041",
            "primary": false
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": "CO",
            "license": "LL-03041",
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "CO",
            "license": "LL-03041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.