DUSTIN DAVIS DPM NPI 1598286379

NPI Information

NPI: 1598286379
Provider Name: DUSTIN DAVIS, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
10800 KNIGHTS RD
PHILADELPHIA, PA
ZIP 19114
Phone: (215) 612-5161
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Dustin Davis, DPM is a foot and ankle surgery podiatrist in Philadelphia, PA with 7 years of experience. Dustin Davis, DPM NPI is 1598286379. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2017

The provider's business location address is:

10800 KNIGHTS RD
PHILADELPHIA, PA
ZIP 19114-200
Phone: (215) 612-5161

The NPI 1598286379 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/30/2017 and was last updated on 6/30/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	SC006826	PENNSYLVANIA	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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