NPIMap

Organization Active NPI

Arthur I Davida MD PC

Doing business as Doc's Shop

  • Health Service Clinic/Center
  • Bloomingdale, IL
National Provider Identifier
1821374570
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
036070839 Issued in IL
Legal business name
ARTHUR I DAVIDA MD PC
Doing business as
Doc's Shop
Practice address
105 3Rd St
Bloomingdale, IL 60108-1212
Phone
(630) 893-8050
Fax
(630) 893-8154
NPI assigned
Oct 26, 2011
Last updated
Oct 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Authorized official

Name
Dr. Arthur I Davida, MDNPI 1306831300
Title
Owner
Phone
(630) 893-8050

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 036070839 IL Primary

Addresses

Primary practice location

105 3Rd St
Bloomingdale, IL 60108-1212

Mailing address

105 3Rd St
Bloomingdale, IL 60108-1212
Phone (630) 893-8050

Other names 1

  • Doc's Shop Doing business as

National Provider Directory

National Provider Directory

Locations

105 3rd St
Bloomingdale, IL 60108
Phone (630) 893-8050

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doc's Shop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • 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.