Organization Active NPI

Randall K. Davis, M.D.,P.a.

  • Specialist
  • Midland, TX
National Provider Identifier
1780888008
Registry record updated Oct 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J3081 Issued in TX
Legal business name
RANDALL K. DAVIS, M.D.,P.A.
Practice address
4214 Andrews Hwy
Suite 101
Midland, TX 79703-4822
Phone
(432) 689-2222
Fax
(432) 689-3430
NPI assigned
Jun 12, 2007
Last updated
Oct 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2008

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

Authorized official

Name
Dr. Randall K Davis, M.D.
Title
Owner
Phone
(432) 689-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J3081 TX Primary

Addresses

Primary practice location

4214 Andrews Hwy
Suite 101
Midland, TX 79703-4822

Mailing address

4214 Andrews Hwy
Suite 101
Midland, TX 79703-4822
Phone (432) 689-2222

Other identifiers 1

IdentifierTypeStateIssuer
128434103MedicaidTX

National Provider Directory

National Provider Directory

Locations

400 N Garfield
Ste 230
Midland, TX 79701
Phone (432) 688-8888

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1780888008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY",
            "address_2": "SUITE 101",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034822",
            "telephone_number": "432-689-2222",
            "fax_number": "432-689-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4214 ANDREWS HWY",
            "address_2": "SUITE 101",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797034822",
            "telephone_number": "432-689-2222",
            "fax_number": "432-689-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDALL K. DAVIS, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-689-2222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J3081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128434103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.