NPIMap

Organization Active NPI

Davis Whole Family Health PLLC

  • Family Medicine Physician
  • Flagstaff, AZ
National Provider Identifier
1851158109
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DAVIS WHOLE FAMILY HEALTH PLLC
Practice address
150 N Verde St Ste 101
Flagstaff, AZ 86001-5257
Phone
(619) 218-9490
NPI assigned
Mar 4, 2024
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
DAVIS WHOLE FAMILY HEALTH PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Bethany DavisNPI 1982048856
Title
MD Owner
Phone
(928) 233-8801

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

150 N Verde St Ste 101
Flagstaff, AZ 86001-5257

Mailing address

PO Box 35662
Belfast, ME 04915-0634
Phone (619) 218-9490

National Provider Directory

National Provider Directory
Tax ID family
Davis Whole Family Health PLLC2 organizations share this tax ID, including this one
Part of
Davis Whole Family Health PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

150 N Verde St
Ste 101
Flagstaff, AZ 86001
Phone (619) 218-9490

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1851158109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35662",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150634",
            "telephone_number": "619-218-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 N VERDE ST STE 101",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860015257",
            "telephone_number": "619-218-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS WHOLE FAMILY HEALTH PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DAVIS WHOLE FAMILY HEALTH PLLC",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "928-233-8801"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flagstaff, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.