Elijah Xiaosen Davis

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

632 Mill Race Rd
Granville, OH 43023-9310

Phone

(740) 644-8855

NPI assigned

Nov 27, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1700652302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MILL RACE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239310",
            "telephone_number": "740-644-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MILL RACE RD",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430239310",
            "telephone_number": "740-644-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ELIJAH",
        "middle_name": "XIAOSEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry E Cotterman-Fischer, LPCC
• Karen S Cowie, LISW-S, LICDC
• James Scott Craig, LPCC
• Creating Connections With Occupational Therapy
• Tung Van Dao, DPM, MS
• Alyssa Debord, MS, RD
• Donald Albert Deshetler Jr., MD
• Debbie Elaine Dickson, LISW
• Brett Alan Dietz, O.D.
• Nancy R Dietz, O.D.

• Homemaker in Granville, OH
• Providers in Granville, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.