Active NPI
James Richard Davis
- Nuclear Medicine Technology Radiologic Technologist
- Pagosa Springs, CO
National Provider Identifier
1780125377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Technology Radiologic Technologist
- License
- 117741
- Practice address
- 117 Navajo Trail Dr Ste V
Pagosa Springs, CO 81147-9033 - Phone
- (970) 279-1205
- NPI assigned
- Mar 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Technology Radiologic Technologist | 2471N0900X | 117741 | CA | Primary |
Addresses
Primary practice location
117 Navajo Trail Dr Ste V
Pagosa Springs, CO 81147-9033
Mailing address
PO Box 5685
Pagosa Springs, CO 81147-5685
Phone (970) 279-1205
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 117741 | CA | MD | Nuclear Medicine Technology Radiologic Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| James R. Davis | Nuclear Medicine Technology | Past | Accepting new patients |
| Ram Dandillaya, M.D., Inc. | Past | Accepting new patients | |
| Specialized Imaging | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nuclear Medicine Technology Radiologic Technologist
- Pagosa Springs, CO
- NPI 1164959086
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Pagosa Springs, CO
- NPI 1245774587
-
- Nuclear Cardiology Physician
- Torrance, CA
- NPI 1720250103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1780125377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5685",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811475685",
"telephone_number": "970-279-1205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 NAVAJO TRAIL DR STE V",
"city": "PAGOSA SPRINGS",
"state": "CO",
"postal_code": "811479033",
"telephone_number": "970-279-1205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JAMES",
"middle_name": "RICHARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "2471N0900X",
"taxonomy_group": "",
"desc": "Radiologic Technologist, Nuclear Medicine Technology",
"state": "CA",
"license": "117741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pagosa Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.