Davis and Davis Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

DAVIS AND DAVIS INC

Doing business as

Lourines Breast Prosthesis & Wigs

Practice address

355 E 3Rd St
Salem, VA 24153-5019

Phone

(540) 387-1057

Fax

(540) 387-1966

NPI assigned

Jun 11, 2008

Last updated

Apr 17, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathy Sue Cruff, CFM

Title

President

Phone

(540) 387-1057

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LOURINES BREAST PROSTHESIS & WIGS Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1649430851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 E 3RD ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535019",
            "telephone_number": "540-387-1057",
            "fax_number": "540-387-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 3RD ST",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241535019",
            "telephone_number": "540-387-1057",
            "fax_number": "540-387-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS AND DAVIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-11",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "CRUFF",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-387-1057",
        "authorized_official_credential": "CFM"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009190805",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LOURINES BREAST PROSTHESIS & WIGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David a May DC Inc
• Dexter Coronel David, DO
• Efraim Panganiban David, MD
• Daniel Craig Davidson, DC
• Melissa Perry Davidson, LPN
• Ashley Davis
• Brooklin Davis
• Deborah Edwards Davis, CPNP
• Jamonda Davis, LCSW
• Kelly Davis

• Prosthetic/Orthotic Supplier in Salem, VA
• Providers in Salem, VA by specialty
• Prosthetic/Orthotic Supplier in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.