Individual provider Active NPI

Chace Michael Davies, D.O.

  • Sports Medicine (Family Medicine) Physician
  • Novi, MI
National Provider Identifier
1912682907
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
5151016123 Issued in MI
Practice address
26750 Providence Pkwy Ste 210
Novi, MI 48374-1212
Phone
(248) 465-4469
Fax
(248) 465-4503
NPI assigned
Jun 19, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 5151016123 MI Primary

Addresses

Primary practice location

26750 Providence Pkwy Ste 210
Novi, MI 48374-1212

Mailing address

26750 Providence Pkwy Ste 210
Novi, MI 48374-1212
Phone (248) 465-4469

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230727001978 MI Order and Referring Only - Family PracticePractitioner - Family Practice 8224499918

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5151016123MIMDEmergency Medicine Physician

Interoperability endpoints

  • Direct secure messaging: chace.davies.p1@direct.oihn.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1912682907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY STE 210",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741212",
            "telephone_number": "248-465-4469",
            "fax_number": "248-465-4503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26750 PROVIDENCE PKWY STE 210",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741212",
            "telephone_number": "248-465-4469",
            "fax_number": "248-465-4503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "CHACE",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "5151016123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.