Active NPI
Christy Denice Davenport, OTR
- Occupational Therapist
- Greensboro, NC
National Provider Identifier
1922200047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5373
- Practice address
- 1200 N Elm St
Greensboro, NC 27401-1004 - Phone
- (336) 832-7363
- NPI assigned
- Jun 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5373 | NC | Primary |
Addresses
Primary practice location
1200 N Elm St
Greensboro, NC 27401-1004
Mailing address
107 Shorelake Dr
Apt E
Greensboro, NC 27455-4010
Phone (336) 288-4680
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100000131434 | Other | NC | MEDCOST INSURANCE NUMBER |
| 1067477 | Other | NBCOT NUMBER |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5373 | NC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1922200047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 SHORELAKE DR",
"address_2": "APT E",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274554010",
"telephone_number": "336-288-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011004",
"telephone_number": "336-832-7363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVENPORT",
"first_name": "CHRISTY",
"middle_name": "DENICE",
"name_prefix": "Miss",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "5373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST INSURANCE NUMBER",
"identifier": "100000131434",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NBCOT NUMBER",
"identifier": "1067477",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.