Organization Active NPI

Rebecca S Davis-Trujillo MD PC

  • Family Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1962696864
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
31545 Issued in CO
Legal business name
REBECCA S DAVIS-TRUJILLO MD PC
Practice address
1715 N Weber St
#270
Colorado Springs, CO 80907-7532
Phone
(719) 473-8595
Fax
(719) 473-8593
NPI assigned
Sep 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2007

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

Authorized official

Name
Rebecca S Davis, MD
Title
Owner
Phone
(719) 473-8595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 31545 CO Primary

Addresses

Primary practice location

1715 N Weber St
#270
Colorado Springs, CO 80907-7532

Mailing address

1715 N Weber St
#270
Colorado Springs, CO 80907-7532
Phone (719) 473-8595

National Provider Directory

National Provider Directory

Locations

1715 N Weber St
Ste 270
Colorado Springs, CO 80907
Phone (719) 473-8595

3464 S Willow St
Ste 541
Denver, CO 80231

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1962696864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 N WEBER ST",
            "address_2": "#270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077532",
            "telephone_number": "719-473-8595",
            "fax_number": "719-473-8593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 N WEBER ST",
            "address_2": "#270",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077532",
            "telephone_number": "719-473-8595",
            "fax_number": "719-473-8593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBECCA S DAVIS-TRUJILLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-473-8595",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.