NPIMap

Individual provider Active NPI

Maura Davenport, M.D.

  • Family Medicine Physician
  • Ennis, MT
National Provider Identifier
1972896074
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34031 Issued in MT
Practice address
305 N Main St
Ennis, MT 59729-8001
Phone
(406) 682-4223
Fax
(406) 682-4756
NPI assigned
May 23, 2011
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34031 MT Primary

Addresses

Primary practice location

305 N Main St
Ennis, MT 59729-8001

Mailing address

305 N Main St
Ennis, MT 59729-8001
Phone (406) 682-4223

Other practice location 1

600 Mt Highway 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mdavenport2905714@wm.providencedirect.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150225002212 MT Practitioner - Family Practice 4486970092 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madison Valley Hospital IncGroup PAC ID 7719890987, 13 clinicians
Barrett Hospital Development CorporationGroup PAC ID 4082904487, shared by 4 NPIs, 30 clinicians

Practice addresses (Care Compare)

305 N Main St
Ennis, MT 59729-8001
Phone (406) 682-6862

600 Mt Hwy 91 S
Dillon, MT 59725-7379
Phone (406) 683-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4000COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Barrett Hospital Development Corporation CurrentSince Aug 1, 2023 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Jan 1, 2026 Accepting new patients
Barrett Hospital Development Corporation CurrentSince Aug 1, 2023 Accepting new patients
Madison Valley Hospital, Inc. CurrentSince Jan 4, 2015 Accepting new patients
Madison Valley Hospital Inc CurrentSince Jan 4, 2015 Accepting new patients
Madison Valley Hospital Inc Current Accepting new patients
Barrett Hospital Development Corporation Past Accepting new patients

Locations

30 MT Highway 91 S
Dillon, MT 59725
Phone (406) 414-5070

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

305 N Main St
Ennis, MT 59729
Phone (406) 682-4223

Interoperability endpoints

  • Direct secure messaging: maurad@mvmedcenter.securechart.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1972896074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597298001",
            "telephone_number": "406-682-4223",
            "fax_number": "406-682-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N MAIN ST",
            "city": "ENNIS",
            "state": "MT",
            "postal_code": "597298001",
            "telephone_number": "406-682-4223",
            "fax_number": "406-682-4756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Mt Highway 91 S",
            "address_purpose": "LOCATION",
            "city": "Dillon",
            "state": "MT",
            "postal_code": "597257379",
            "country_code": "US",
            "telephone_number": "406-683-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "MAURA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-23",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "34031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdavenport2905714@wm.providencedirect.org",
            "affiliation": "N",
            "address_1": "600 Mt Highway 91 S",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597257379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ennis, MT

Sources for this page

Verify at the official NPI Registry.