B J Davis Dopc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40958 Issued in NM

Legal business name

B J DAVIS DOPC

Practice address

3804 Montgomery NE
Albuqurque, NM 87109

Phone

(505) 883-8099

Fax

(505) 883-8060

NPI assigned

Nov 16, 2006

Last updated

Feb 8, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

B J DAVIS DOPCAs reported in NPPES

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

Authorized official

Name

Dr. B J Davis, DO

Title

Owner

Phone

(505) 883-8099

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Geriatric Care Assoc in

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1760555916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 MONTGOMERY NE",
            "city": "ALBUQURQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-883-8099",
            "fax_number": "505-883-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 MONTGOMERY NE",
            "city": "ALBUQURQUE",
            "state": "NM",
            "postal_code": "87109",
            "telephone_number": "505-883-8099",
            "fax_number": "505-883-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B J DAVIS DOPC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "B J DAVIS DOPC",
        "enumeration_date": "2006-11-16",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "B",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-883-8099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "A40958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41723",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spotswood Thomson Collins, PAC
• David Dominic Dalise, DDS
• Nancy McGough, CNP
• Anna Feldman Vertkin, MD

• Family Medicine Physician in Albuqurque, NM
• Providers in Albuqurque, NM by specialty
• Family Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.