Arthur I Davida MD PC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

036070839 Issued in IL

Legal business name

ARTHUR I DAVIDA MD PC

Practice address

105 3Rd St
Bloomingdale, IL 60108-1212

Phone

(630) 893-8050

Fax

(630) 893-8154

NPI assigned

Oct 26, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Arthur I Davida, MD

Title

Owner

Phone

(630) 893-8050

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Doc's Shop Doing business as

Locations

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319587200000",
    "number": "1821374570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 3RD ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081212",
            "telephone_number": "630-893-8050",
            "fax_number": "630-893-8154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 3RD ST",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081212",
            "telephone_number": "630-893-8050",
            "fax_number": "630-893-8154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR I DAVIDA MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A",
        "authorized_official_last_name": "DAVIDA",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-893-8050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "IL",
            "license": "036070839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070839",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc's Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Service Clinic/Center in Bloomingdale, IL
• Providers in Bloomingdale, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.