JUSTIN R DAVIS MD NPI 1629282496

NPI Information

  • NPI: 1629282496
  • Provider Name: JUSTIN R DAVIS, MD
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1200 CHILDRENS AVE
    OKLAHOMA CITY, OK
    ZIP 73104
  • Phone: (405) 271-2429

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NPI Details

Justin R Davis, MD is a pediatric emergency medicine pediatrics in Oklahoma City, OK. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Justin R Davis, MD NPI is 1629282496. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1200 CHILDRENS AVE
OKLAHOMA CITY, OK
ZIP 73104-637
Phone: (405) 271-2429

The NPI 1629282496 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), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2007 and was last updated on 1/20/2025.

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
1208000000XPediatrics2012004798MISSOURINo
2208000000XPediatrics04-35493KANSASNo
32080P0204XPediatricsPediatric Emergency Medicine23806MISSISSIPPINo
42080P0204XPediatricsPediatric Emergency MedicineR4957TEXASNo
52080P0204XPediatricsPediatric Emergency Medicine44055OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102683804MEDICAIDMISSISSIPPI

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: 11/21/2025

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