Joseph Rand Davenport II

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

37 College Ave
Gorham, ME 04038-1032

Phone

(207) 780-5659

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1770067647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 DANFORTH ST APT 3",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041025130",
            "telephone_number": "207-210-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 COLLEGE AVE",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381032",
            "telephone_number": "207-780-5659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "JOSEPH",
        "middle_name": "RAND",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason A Curtis, DMD
• Joy Cutrone, FMCHC
• Cvwellbeing (CVbrands)
• Jennifer Lynne Danley, DPT
• Molly A Davee, CCC- SLP
• Erin Davis, LMT
• Deborah J Devine PSYD, PA
• Deborah Jean Devine, PSYD
• Elizabeth Devito, PTA
• Emmanuel Theodory Dezdel

• Athletic Trainer in Gorham, ME
• Providers in Gorham, ME by specialty
• Athletic Trainer in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.