Matthew Davis

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

2705124058 Issued in VA

Practice address

2612 Goodes Bridge Rd Ste a
North Chesterfield, VA 23224-2567

Phone

(804) 283-6445

Fax

(804) 233-3924

NPI assigned

Sep 10, 2018

Last updated

Sep 10, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1881177517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2612 GOODES BRIDGE RD STE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232242567",
            "telephone_number": "804-283-6445",
            "fax_number": "804-233-3924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 GOODES BRIDGE RD STE A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232242567",
            "telephone_number": "804-283-6445",
            "fax_number": "804-233-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MATTHEW",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "VA",
            "license": "2705124058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmine Detwaunna Davis-Goode, LCSW
• Darice Nicole Davis, PSY.D.
• Kia Marie Davis, PHARMD
• Leslie Lynt Davis, MD
• Lois Ann Davis, MD
• Trina Davis
• Walter S Davis
• William York Davis
• Simone Dawkins, CSAC, RC
• Daybreak Adult Services

• Home Modifications Contractor in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Home Modifications Contractor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.