Individual provider Active NPI

Michael Davis

  • Speech-Language Pathologist
  • Mason City, IA
National Provider Identifier
1730048281
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
135596 Issued in IA
Practice address
1037 19TH St SW
Mason City, IA 50401-6436
Phone
(641) 423-0428
Fax
(641) 424-1068
NPI assigned
Jan 20, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 135596 IA Primary

Addresses

Primary practice location

1037 19TH St SW
Mason City, IA 50401-6436

Mailing address

83 River Heights Dr
Mason City, IA 50401-4017
Phone (641) 423-0428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616001782 IA Practitioner - Qualified Speech Language Pathologist 1658653225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1335 Strassner Dr
Saint Louis, MO 63144-1872

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
135596IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Odd Fellows & Orphans Home Current Accepting new patients

Locations

1037 19th St SW
Mason City, IA 50401
Phone (641) 423-0428

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ioof Home and Community Therapy CenterMason City, IA, CCN 165536 Skilled nursing facility 5% Or Greater Direct Ownership Interest
Operational/Managerial Control
Sep 26, 2025
Jul 23, 2013

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1730048281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 RIVER HEIGHTS DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504014017",
            "telephone_number": "641-423-0428",
            "fax_number": "641-424-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1037 19TH ST SW",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504016436",
            "telephone_number": "641-423-0428",
            "fax_number": "641-424-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "135596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.