Active NPI
Don D Davis, D.O.
- Emergency Medicine Physician
- Granbury, TX
National Provider Identifier
1700806684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- D6410
- Practice address
- 1310 Paluxy Rd
Granbury, TX 76048-5655 - Phone
- (817) 915-0095
- NPI assigned
- Jul 20, 2006
- Last updated
- Jul 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D6410 | TX | |
| Emergency Medicine Physician | 207P00000X | D6410 | TX | Primary |
| Family Medicine Physician | 207Q00000X | D6410 | TX |
Addresses
Primary practice location
1310 Paluxy Rd
Granbury, TX 76048-5655
Mailing address
6616 Carol CT
Granbury, TX 76048-6643
Phone (817) 915-0095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139506326 | Medicaid | TX | |
| P00802548 | Other | TX | RAILROAD |
Other names 1
- Donnie Doyle Davis
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)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Emergency Room Services, P.a. | Emergency Medicine | Past | Accepting new patients |
| Howard Emergency Medicine Associates PA. | Emergency Medicine | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nurse Practitioner
- Big Spring, TX
- NPI 1609972447
Emergency Medicine
-
- Emergency Medicine Physician
- Granbury, TX
- NPI 1598710493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1700806684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6616 CAROL CT",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760486643",
"telephone_number": "817-915-0095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 PALUXY RD",
"city": "GRANBURY",
"state": "TX",
"postal_code": "760485655",
"telephone_number": "817-915-0095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DON",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "D6410",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "D6410",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "D6410",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139506326",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00802548",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DONNIE",
"last_name": "DAVIS",
"middle_name": "DOYLE",
"credential": "DO",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Granbury, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.