Umang Dave, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT013109 Issued in GA

Practice address

1764 Indiana Ave NE
Atlanta, GA 30307-2222

Phone

(650) 267-1500

NPI assigned

Nov 11, 2020

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

State licenses

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

{
    "created_epoch": "1605052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1780286161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 INDIANA AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072222",
            "telephone_number": "650-267-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 INDIANA AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303072222",
            "telephone_number": "650-267-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVE",
        "first_name": "UMANG",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-11",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT013109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia N Dave, DO
• Nishedh Nayan Dave, DO
• Patrice Dave
• Rachna Raj Dave, MD
• Ronak Dave
• Agena Renee Davenport-Nicholson, MD
• Aalayah Rasheed Davenport
• Jessica Davenport, RN
• Kimbrelle Davenport
• Laura Davenport, CPNP

• Massage Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.