Davismade, Inc.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

ME-0159374 Issued in MI

Legal business name

DAVISMADE, INC.

Practice address

2511 Davison Rd
Flint, MI 48506-3649

Phone

(810) 233-9706

Fax

(810) 233-9716

NPI assigned

May 8, 2006

Last updated

Aug 22, 2020By 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

Ms. Nancy Perry

Title

President

Phone

(866) 742-0581

Specialties & licenses 1

Addresses

Other identifiers 8

Locations

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871542860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 DAVISON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063649",
            "telephone_number": "810-233-9706",
            "fax_number": "810-233-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 DAVISON RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485063649",
            "telephone_number": "810-233-9706",
            "fax_number": "810-233-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVISMADE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-742-0581",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "MI",
            "license": "ME-0159374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30010915",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2771752",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9113941",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9162430",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01652524",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "663880",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0956541",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "DA J54840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Davis, LPC, NCC, CAADC, CCS
• Pamala K Davis, LLPC
• Rachel L Davis
• Trashayla Lynette Davis
• Yamesia Davis, BSW
• Anita Cecile Davison, L.L.P., L.L.P.C.
• Teresa Davison
• Jerry J Dawes, CRNA
• Thair Tallo Dawood, M.D.
• Barbara Dawson

• Customized Equipment (DME) in Flint, MI
• Providers in Flint, MI by specialty
• Customized Equipment (DME) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.