NPIMap

Organization Active NPI

Davis Orthopaedics

  • Orthopaedic Surgery Physician
  • Prescott Valley, AZ
National Provider Identifier
1932505674
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
DAVIS ORTHOPAEDICS
Practice address
3237 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone
(928) 772-5320
Fax
(928) 772-5319
NPI assigned
Nov 7, 2014
Last updated
Dec 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Authorized official

Name
Mark B DavisNPI 1508885047
Title
Owner & Physician
Phone
(928) 772-5320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X NU
Adult Health Nurse Practitioner 363LA2200X NU
Family Nurse Practitioner 363LF0000X NU
Licensed Practical Nurse 164W00000X NU
Orthopaedic Surgery Physician 207X00000X NU Primary
General Practice Physician 208D00000X NU
Physical Therapist 225100000X NU

Addresses

Primary practice location

3237 N Windsong Dr
Prescott Valley, AZ 86314-1222

Mailing address

3237 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-5320

Other practice location 1

3221 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 910-7010

Other practice location 2

34406 N 27th Dr Ste 140
Phoenix, AZ 85085-6079
Phone (602) 603-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150227001205 AZ Part B Supplier - Clinic/Group Practice 0749506269 Receives reassigned benefits from 8 practitioners
Practice locations: Phoenix, AZ; Prescott Valley, AZ
O20160615000246 AZ DME Supplier - Physician - Orthopedic/Orthopedic Surgery 0749506269 Practice locations: Prescott Valley, AZ

National Provider Directory

National Provider Directory

Locations

3221 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 772-5320

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1932505674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3237 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-5320",
            "fax_number": "928-772-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3237 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141222",
            "telephone_number": "928-772-5320",
            "fax_number": "928-772-5319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 N Windsong Dr",
            "address_purpose": "LOCATION",
            "city": "Prescott Valley",
            "state": "AZ",
            "postal_code": "863141222",
            "country_code": "US",
            "telephone_number": "928-910-7010",
            "fax_number": "928-910-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34406 N 27th Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850856079",
            "country_code": "US",
            "telephone_number": "602-603-4040",
            "fax_number": "928-772-5319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DAVIS ORTHOPAEDICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-07",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER & PHYSICIAN",
        "authorized_official_telephone_number": "928-772-5320"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.