R. Clark Davis, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G13731 Issued in CA

Legal business name

R. CLARK DAVIS, M.D., INC.

Practice address

10 Congress St
Suite 509
Pasadena, CA 91105-3023

Phone

(626) 795-6327

Fax

(626) 795-5756

NPI assigned

Dec 26, 2005

Last updated

Oct 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roy Clark Davis, M.D.NPI 1083748198

Title

Orthopaedic Hand Surgeon

Phone

(626) 795-6327

Specialties & licenses 1

Addresses

Locations

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.

• Roy Clark Davis, M.D.

  • Specialist
  • Pasadena, CA
  • NPI 1083748198
  Authorized official Same address or phone

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193443200000",
    "number": "1841277498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "SUITE 509",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-795-6327",
            "fax_number": "626-795-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CONGRESS ST",
            "address_2": "SUITE 509",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053023",
            "telephone_number": "626-795-6327",
            "fax_number": "626-795-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R. CLARK DAVIS, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-26",
        "last_updated": "2007-10-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "CLARK",
        "authorized_official_title_or_position": "ORTHOPAEDIC HAND SURGEON",
        "authorized_official_telephone_number": "626-795-6327",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G13731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; 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.