Active NPI
Jan Kathryn Davis, M.D.
- Pediatrics Physician
- Houston, TX
National Provider Identifier
1699781997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F3887
- Practice address
- 909 Frostwood Dr
Suite 327
Houston, TX 77024-2301 - Phone
- (713) 932-0045
- NPI assigned
- Jul 31, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F3887 | TX | Primary |
Addresses
Primary practice location
909 Frostwood Dr
Suite 327
Houston, TX 77024-2301
Mailing address
909 Frostwood Dr
Suite 327
Houston, TX 77024-2301
Phone (713) 932-0045
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12-80108 | Other | TX | UNITED |
| 4411938 | Other | TX | AETNA PPO |
| 890136 | Other | TX | BLUE CROSS/ BLUE SHIELD |
| 2007932 | Other | TX | AETNA HMO |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F3887 | TX | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1699781997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "SUITE 327",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "713-932-0045",
"fax_number": "713-932-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 FROSTWOOD DR",
"address_2": "SUITE 327",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770242301",
"telephone_number": "713-932-0045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAN",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F3887",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "12-80108",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "4411938",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/ BLUE SHIELD",
"identifier": "890136",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2007932",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.