NPIMap

Organization Active NPI

J. Christopher Davis, PLLC

  • Otolaryngology Physician
  • Hoover, AL
National Provider Identifier
1841595014
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
00025648 Issued in AL
Legal business name
J. CHRISTOPHER DAVIS, PLLC
Practice address
2161 Valleydale Rd
Hoover, AL 35244-2010
Phone
(205) 988-6858
Fax
(205) 987-3501
NPI assigned
Jan 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
John Christopher Davis, M.D.NPI 1124113501
Title
Owner/President
Phone
(205) 988-6858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 00025648 AL Primary

Addresses

Primary practice location

2161 Valleydale Rd
Hoover, AL 35244-2010

Mailing address

2161 Valleydale Rd
Hoover, AL 35244-2010
Phone (205) 988-6858

Other identifiers 4

IdentifierTypeStateIssuer
051113640OtherALBCBSAL
009962145MedicaidAL
134661MedicaidAL
51521978OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111117000565 AL Part B Supplier - Clinic/Group Practice 2062686512 Receives reassigned benefits from 8 practitioners
Practice locations: Birmingham, AL; Hoover, AL

National Provider Directory

National Provider Directory

Locations

516 Brookwood Blvd
Ste 101
Birmingham, AL 35209

516 Brookwood Blvd
#100
Birmingham, AL 35209

509 Brookwood Blvd
Ste 100
Birmingham, AL 35209

2161 Valleydale Rd
Hoover, AL 35244
Phone (205) 988-6858

2161 Valleydale Rd
Ste 100
Hoover, AL 35244

5601 Eastern Ave
Ste 503
Baltimore, MD 21224
Phone (410) 675-2272

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1841595014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442010",
            "telephone_number": "205-988-6858",
            "fax_number": "205-987-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2161 VALLEYDALE RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352442010",
            "telephone_number": "205-988-6858",
            "fax_number": "205-987-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. CHRISTOPHER DAVIS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "205-988-6858",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "AL",
            "license": "00025648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "051113640",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009962145",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134661",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51521978",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.