NPIMap

Organization Active NPI

Davis Orthopaedics, LLC

  • General Practice Physician
  • Prescott Valley, AZ
National Provider Identifier
1710555339
Registry record updated Jun 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DAVIS ORTHOPAEDICS, LLC
Doing business as
Windsong Primary Care
Practice address
3221 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone
(928) 910-7010
Fax
(928) 910-7011
NPI assigned
Jun 11, 2021
Organization subpart
Yes
Parent organization
DAVIS ORTHOPAEDICS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2021

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

Authorized official

Name
Mark B Davis, DONPI 1508885047
Title
Owner
Phone
(928) 772-5320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3221 N Windsong Dr
Prescott Valley, AZ 86314-1222

Mailing address

3237 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-5320

Other names 1

  • Windsong Primary Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Davis Orthopaedics2 organizations share this tax ID, including this one
Part of
Davis Orthopaedics

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34406 N 27th Dr
Ste 123
Phoenix, AZ 85085

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1710555339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-910-7010",
            "fax_number": "928-910-7011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS ORTHOPAEDICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS ORTHOPAEDICS, LLC",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-05-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-772-5320",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windsong Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2021; 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.