Active NPI
Demetrice Sharnae Davis, M.D.
- Diagnostic Radiology Physician
- Edina, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 14415
- Practice address
- 3600 Minnesota Dr Ste 800
Edina, MN 55435-7915 - Phone
- (952) 595-1301
- NPI assigned
- Sep 14, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 92688 | GA | |
| Diagnostic Radiology Physician | 2085R0202X | 14415 | NV | Primary |
| Diagnostic Radiology Physician | 2085R0202X | E-16415 | AR |
Addresses
Primary practice location
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Mailing address
3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone (952) 595-1301
Other practice location 1
1 Independence Pt Ste 202
Greenville, SC 29615-4536
Phone (877) 406-2916
Other practice location 2
7130 Smoke Ranch Rd Ste 101
Las Vegas, NV 89128-3157
Phone (702) 942-4117
Other practice location 3
4301 W Markham St # 556
Little Rock, AR 72205-7101
Phone (501) 296-1095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962710780 | Medicaid | NV | |
| P00113844 | Other | NV | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA, AR, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
3100 N Tenaya Way
Las Vegas, NV 89128-0436
Phone (866) 722-1655
3186 S Maryland Pkwy
Las Vegas, NV 89109-2317
Phone (866) 722-1655
6028 Downs CT
Las Vegas, NV 89149-5108
Phone (952) 595-1100
Hospital & facility affiliations
- Calverthealth Medical Center
- King'S Daughters' Medical Center
- Mercy Hospital Oklahoma City, Inc
- Mountainview Hospital
- Wellspan York Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14415 | NV | MD | Pharmacist |
| 92688 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| Silicon Valley Diagnostic Imaging, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| X-Ray Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| County of San Joaquin | Current | Accepting new patients | |
| County of San Joaquin | Current | Accepting new patients | |
| Casa Colina Hospital and Centers for Healthcare | Current | Accepting new patients | |
| Arkansas Health Group | Current | Accepting new patients | |
| Oklahoma Radiology Group P C | Diagnostic Radiology | Current | Accepting new patients |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| Fullerton Radiology Medical Group, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| San Joaquin Faculty Medical Group | Current | Accepting new patients | |
| West Valley Radiology Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Barden Thorwarth Daughtridge LTD | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Golding Radiology, LTD | Diagnostic Radiology | Current | Accepting new patients |
| X-Ray Associates of Louisville PSC | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Family Medicine | Current | Accepting new patients |
| Carlos G. Otis Health Care Center Inc. | Current | Accepting new patients | |
| Radiology Consultants of Little Rock, PA | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Current | Accepting new patients | |
| Radx Imaging Partners Inc | Diagnostic Radiology | Current | Accepting new patients |
| Virtual Radiologic Professionals, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Specialists LTD Marasso-Miller | Diagnostic Radiology | Current | Accepting new patients |
| I V Radiology Medical Group | Diagnostic Radiology | Current | Accepting new patients |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| San Joaquin Community Hospital | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| Adventist Health Medical Center Tehachapi | Current | Accepting new patients | |
| Los Alamitos Radiology Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| University of Arkansas for Medical Sciences | Family Medicine | Current | Accepting new patients |
| San Antonio Radiological Medical | Diagnostic Radiology | Current | Accepting new patients |
| Professional Radiology Inc. | Diagnostic Radiology | Current | Accepting new patients |
| County of Santa Clara | Current | Accepting new patients | |
| Butler Imaging and Interventional Associates LLC | Diagnostic Radiology | Current | Accepting new patients |
| Mountain Communities Healthcare District | Current | Accepting new patients | |
| University of Arkansas for Medical Sciences | Diagnostic Radiology | Current | Accepting new patients |
| Red River Consultants, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Carlos G Otis Health Care Center Inc | Current | Accepting new patients | |
| Arkansas Health Group | Diagnostic Radiology | Current | Accepting new patients |
| Focus Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Claremont Imaging Associates, a Medical Corporation | Diagnostic Radiology | Current | Accepting new patients |
| Carlos G Otis Health Care Center Inc | Current | Accepting new patients | |
| Adventist Health Physicians Network | Past | Accepting new patients | |
| Focus Medical Imaging | Diagnostic Radiology | Past | Accepting new patients |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations (25 of 55)
11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215
4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278
1 Childrens Way
#653
Little Rock, AR 72202
Phone (501) 614-2006
4301 W Markham St
Little Rock, AR 72205
Phone (501) 603-1278
9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210
11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587
1 Childrens Way
Ste 653
Little Rock, AR 72202
4301 W Markham St
#556
Little Rock, AR 72205
Phone (501) 296-1095
5528 E La Palma Ave
Ste 4A
Anaheim, CA 92807
Phone (714) 970-0200
2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545
9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000
207 W Legion Rd
Brawley, CA 92227
Phone (760) 351-3333
9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785
5451 Walnut Ave
Chino, CA 91710
Phone (909) 464-8600
800 S Main St
Corona, CA 92882
Phone (909) 625-5411
10601 Walker St
Ste 150
Cypress, CA 90630
Phone (714) 656-2130
16465 Sierra Lakes Pkwy
Fontana, CA 92336
Phone (909) 244-9593
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
3801 Katella Ave
Ste 207
Los Alamitos, CA 90720
Phone (562) 598-9745
815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131
323 S Heliotrope Ave
Monrovia, CA 91016
Phone (626) 408-9800
5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111
Interoperability endpoints
- casacolina@direct.casacolina.org
Organizations & group practices 51
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1437196979
-
- Critical Access Hospital
- Tehachapi, CA
- NPI 1275538530
-
- Diagnostic Radiology Physician
- Little Rock, AR
- NPI 1861216327
-
- Diagnostic Radiology Physician
- Butler, PA
- NPI 1659518389
NV
-
- Rural Health Clinic/Center
- Townshend, VT
- NPI 1124049960
-
- Critical Access Hospital
- Townshend, VT
- NPI 1255337473
-
- Diagnostic Radiology Physician
- Pomona, CA
- NPI 1619068921
NV
-
- General Acute Care Hospital
- French Camp, CA
- NPI 1801830583
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ashland, KY
- NPI 1851346720
-
- General Acute Care Hospital
- Prince Frederick, MD
- NPI 1457389298
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1184721722
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
-
- General Acute Care Hospital
- York, PA
- NPI 1326060492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1962710780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 MINNESOTA DR STE 800",
"city": "EDINA",
"state": "MN",
"postal_code": "554357915",
"telephone_number": "952-595-1301"
}
],
"practiceLocations": [
{
"address_1": "1 Independence Pt Ste 202",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296154536",
"country_code": "US",
"telephone_number": "877-406-2916",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7130 Smoke Ranch Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891283157",
"country_code": "US",
"telephone_number": "702-942-4117",
"fax_number": "864-987-1611",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4301 W Markham St # 556",
"address_purpose": "LOCATION",
"city": "Little Rock",
"state": "AR",
"postal_code": "722057101",
"country_code": "US",
"telephone_number": "501-296-1095",
"fax_number": "501-526-5919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "DEMETRICE",
"middle_name": "SHARNAE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "92688",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "14415",
"primary": true
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AR",
"license": "E-16415",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962710780",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00113844",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.