Active NPI
Roy Kim Davis, M.D.
- Otolaryngology Physician
- Murray, UT
National Provider Identifier
1992962757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 169811-1205
- Practice address
- 181 E Medical Tower Dr
Murray, UT 84107-4872 - Phone
- (801) 314-7840
- Fax
- (801) 314-4891
- NPI assigned
- May 20, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 169811-1205 | UT | Primary |
Addresses
Primary practice location
181 E Medical Tower Dr
Murray, UT 84107-4872
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Phone (801) 233-4400
Other practice location 1
9500 S 1300 E
Sandy, UT 84094-3763
Phone (801) 501-2100
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert J. Lee, M.D., PC | Past | Accepting new patients | |
| University Ear Nose and Throat Associates | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Otolaryngology Physician
- Salt Lake City, UT
- NPI 1417986209
-
- Orthopaedic Surgery Physician
- Idaho Falls, ID
- NPI 1356500086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589760000000",
"number": "1992962757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128",
"telephone_number": "801-233-4400",
"fax_number": "801-233-4410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "181 E MEDICAL TOWER DR",
"city": "MURRAY",
"state": "UT",
"postal_code": "841074872",
"telephone_number": "801-314-7840",
"fax_number": "801-314-4891"
}
],
"practiceLocations": [
{
"address_1": "9500 S 1300 E",
"address_purpose": "LOCATION",
"city": "Sandy",
"state": "UT",
"postal_code": "840943763",
"country_code": "US",
"telephone_number": "801-501-2100",
"fax_number": "801-501-2107",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ROY",
"middle_name": "KIM",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-20",
"last_updated": "2020-05-18",
"certification_date": "2020-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "UT",
"license": "169811-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.