Davidson Medical LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

DAVIDSON MEDICAL LLC

Practice address

5011 Thornbrook RDG
Columbia, MO 65203-9085

Phone

(573) 881-1952

NPI assigned

Sep 9, 2015

Organization subpart

No

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

Authorized official

Name

Dale Benjamin Davidson III

Title

Owner

Phone

(573) 881-1952

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1972971943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 THORNBROOK RDG",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 THORNBROOK RDG",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652039085",
            "telephone_number": "573-881-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDSON MEDICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-881-1952",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Kathline Davenport, APRN
• Morgan Elaine Davi
• David Tager LLC
• Henry W David, MD
• Kathleen Wlaton David, M.D.
• Kendrick C Davidson, M.D.
• Phillip S Davidson, CRNA
• Alyssa Davis, PHARMD
• Anna Elizabeth Davis, MD
• Geetha Kancherla Rao Davis, M.D.

• Durable Medical Equipment & Medical Supplies in Columbia, MO
• Providers in Columbia, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.