John Howard Davis

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

540 W Wallace St
Shawnee, OK 74801-5722

Phone

(405) 777-8275

NPI assigned

Jun 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1750905808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N UNION AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748017067",
            "telephone_number": "405-777-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W WALLACE ST",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748015722",
            "telephone_number": "405-777-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOHN",
        "middle_name": "HOWARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": "1750905808",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Dell Davis
• Elijah Don Davis
• Glenn Davis, D.D.S.
• Greggory Stephen Davis, DMD
• Harli Dijon Davis
• Mark L. Davis, P.A.-C
• Merle Leslie Davis, M.D.
• Nicolette Davis
• Rockolyn Ladawn Davis, LMSW
• Tiffany Davis

• Peer Specialist in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.