Clara Yajahira Davis, IDC

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

590 Washington St
Bath, ME 04530-1934

Phone

(207) 442-4771

NPI assigned

Jun 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289865600000",
    "number": "1992907075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 MITSCHER ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704145",
            "telephone_number": "858-431-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 WASHINGTON ST",
            "city": "BATH",
            "state": "ME",
            "postal_code": "045301934",
            "telephone_number": "207-442-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLARA",
        "middle_name": "YAJAHIRA",
        "name_prefix": "Mrs.",
        "credential": "IDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-01",
        "last_updated": "2010-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saskia G. Cooper
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• David S Hill, MD
• Meredith Leigh Davis, DMD
• Carl S Demars, MD
• Benjaman Ray Desmond, DENTAL HYGIENIST
• Gillian Denise Desmond, DENTAL HYGIENIST
• Kristin Ann Desrochers, OTR/L

• Independent Duty Medical Technicians in Bath, ME
• Providers in Bath, ME by specialty
• Independent Duty Medical Technicians in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.