Active NPI
Davis Group, LTD.
- Medical Specialty Clinic/Center
- Las Vegas, NV
National Provider Identifier
1871917666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- License
- 10713
- Legal business name
- DAVIS GROUP, LTD.
- Practice address
- 8440 W Lake Mead Blvd
104
Las Vegas, NV 89128-7648 - Phone
- (702) 489-4838
- Fax
- (702) 489-4837
- NPI assigned
- Feb 13, 2014
- Organization subpart
- Yes
- Parent organization
- DAVIS GROUP, LTD.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Craig Davis, M.D.
- Title
- Medical Director
- Phone
- (702) 489-4838
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 10713 | NV | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 10713 | NV | |
| Dermatopathology Physician | 207ND0900X | 10713 | NV | |
| Internal Medicine Physician | 207R00000X | 14027 | NV | |
| Rheumatology Physician | 207RR0500X | 14027 | NV | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | 10713 | NV | |
| Anatomic Pathology Physician | 207ZP0101X | 10713 | NV | |
| General Practice Physician | 208D00000X | 10713 | NV | |
| Medical Specialty Clinic/Center | 261QM2500X | 10713 | NV | Primary |
Addresses
Primary practice location
8440 W Lake Mead Blvd
104
Las Vegas, NV 89128-7648
Mailing address
8440 W Lake Mead Blvd
104
Las Vegas, NV 89128-7648
Phone (702) 489-4838
Other names 1
- Access Health
National Provider Directory
National Provider Directory- Part of
- Davis Group LTD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1468800000000",
"number": "1871917666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8440 W LAKE MEAD BLVD",
"address_2": "104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287648",
"telephone_number": "702-489-4838",
"fax_number": "702-489-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8440 W LAKE MEAD BLVD",
"address_2": "104",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891287648",
"telephone_number": "702-489-4838",
"fax_number": "702-489-4837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVIS GROUP, LTD.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DAVIS GROUP, LTD.",
"enumeration_date": "2014-02-13",
"last_updated": "2016-07-18",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CRAIG",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "702-489-4838",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": "NV",
"license": "10713",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NV",
"license": "10713",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology, Dermatopathology",
"state": "NV",
"license": "10713",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NV",
"license": "14027",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "NV",
"license": "14027",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Dermatopathology",
"state": "NV",
"license": "10713",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": "NV",
"license": "10713",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": "NV",
"license": "10713",
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NV",
"license": "10713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Access Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.