Jeffrey C. Davenport, MD, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

24933 Issued in OK

Legal business name

JEFFREY C. DAVENPORT, MD, PC

Practice address

105 S Bryant Ave
Suite 301
Edmond, OK 73034-6399

Phone

(405) 341-1234

Fax

(405) 359-1770

NPI assigned

Aug 22, 2006

Organization subpart

No

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

Authorized official

Name

Jeffrey C Davenport, MD

Title

Owner

Phone

(405) 341-1234

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770699449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE",
            "address_2": "SUITE 301",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346399",
            "telephone_number": "405-341-1234",
            "fax_number": "405-359-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S BRYANT AVE",
            "address_2": "SUITE 301",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730346399",
            "telephone_number": "405-341-1234",
            "fax_number": "405-359-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY C. DAVENPORT, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-341-1234",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "24933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Seaman MD PC
• Marquis Marie Jeffcoat, NP-C
• Mikel Michele Jefferson
• Shenita R Jefferson
• Jeffrey C Davenport MD PC
• Jeffrey T Shaver PC
• Jodi Jenista, APRN-CNP
• Cameron Jenkins
• Keri L Jenkins, MS, LPC
• Lynn Jenkins, COTA/L

• Family Medicine Physician in Edmond, OK
• Providers in Edmond, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.