DR. WILLIAM BURLESON DAVISS M.D. NPI 1922070481

NPI Information

NPI: 1922070481
Provider Name: DR. WILLIAM BURLESON DAVISS, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756
Phone: (603) 650-4724
Get Directions

DR. William Burleson Daviss, M.D. is a child and adolescent psychiatry psychiatry neurology in Lebanon, NH. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. William Burleson Daviss, M.D. NPI is 1922070481. 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:

1 MEDICAL CENTER DR
LEBANON, NH
ZIP 03756-001
Phone: (603) 650-4724
Fax: (603) 650-0819

The NPI 1922070481 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 2/7/2006 and was last updated on 3/7/2017.

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	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	H6154	TEXAS	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	9475	NEW HAMPSHIRE	Yes

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
1	099493103	MEDICAID	TEXAS
2	8G9369	MEDICARE PIN	TEXAS
3	0RE3795	MEDICAID	VERMONT
4	3084158	MEDICAID	NEW HAMPSHIRE
5	002389901	MEDICARE PIN	NEW HAMPSHIRE
6	F17830	MEDICARE UPIN

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: 11/14/2023

NPI Synchronization or Removal

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