Active NPI
David Garland Davis, MD
- Orthopaedic Surgery Physician
- Austin, TX
National Provider Identifier
1871591354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- TX E-0875
- Practice address
- 11623 Angus Rd
Suite 15
Austin, TX 78759-4003 - Phone
- (512) 346-7170
- NPI assigned
- Jul 8, 2005
- Last updated
- Nov 12, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | TX E-0875 | TX | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | TX E-0875 | TX | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | TX E-0875 | TX | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | TX E-0875 | TX |
Addresses
Primary practice location
11623 Angus Rd
Suite 15
Austin, TX 78759-4003
Mailing address
11623 Angus Rd
Suite 15
Austin, TX 78759-4003
Phone (512) 346-7170
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TX E-0875 | Other | TX | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TX E-0875 | TX | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward S Lewis, Mdpa | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226448000000",
"number": "1871591354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11623 ANGUS RD",
"address_2": "SUITE 15",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594003",
"telephone_number": "512-346-7170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11623 ANGUS RD",
"address_2": "SUITE 15",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594003",
"telephone_number": "512-346-7170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DAVID",
"middle_name": "GARLAND",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2008-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "TX E-0875",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "TX",
"license": "TX E-0875",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "TX E-0875",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "TX E-0875",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "TX E-0875",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.