Active NPI
Roshan Denise Davis
- Massage Therapist
- Paris, TX
National Provider Identifier
1992947659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT108456
- Practice address
- 707 Lamar Ave. Ste. M
Paris, TX 75460-4460 - Phone
- (903) 785-7528
- Fax
- (903) 785-1870
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT108456 | TX | Primary |
Addresses
Primary practice location
707 Lamar Ave. Ste. M
Paris, TX 75460-4460
Mailing address
707 Lamar Ave. Ste. M
Paris, TX 75460-4460
Phone (903) 785-7528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT108456 | TX | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238112000000",
"number": "1992947659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 LAMAR AVE. STE. M",
"city": "PARIS",
"state": "TX",
"postal_code": "754604460",
"telephone_number": "903-785-7528",
"fax_number": "903-785-1870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 LAMAR AVE. STE. M",
"city": "PARIS",
"state": "TX",
"postal_code": "754604460",
"telephone_number": "903-785-7528",
"fax_number": "903-785-1870"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "ROSHAN",
"middle_name": "DENISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2009-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "TX",
"license": "MT108456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paris, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.