MR. DOMINIQUE K DAVIS (NPI# 1164941340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164941340 |
| Entity Type | Individual |
| Full Name | MR. DOMINIQUE K DAVIS |
| Practice Address |
700 Parker Ave Apt 9 Braddock PA 15104 |
| Mailing Address |
700 Parker Ave Braddock PA 15104-1647 |
| Practice Telephone | (412) 378-8630 |
| Mailing Telephone | 4123788630 |
| Enumeration Date | 2017-09-19 |
| Last Update Date | 2017-09-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417477456 | Dominique Nicole Davis | Behavior Technician | 100 Congress Ave Ste 1100, Austin, TX 78701-4042 | 2017-06-21 |
| 1851769913 | Dominique Davis | Specialist/Technologist | 2584 Fulbourne Dr, Cincinnati, OH 45231-1864 | 2015-09-07 |
| 1124647508 | Dominique Dionne Davis | Pharmacist | 3200 S University Dr, Davie, FL 33328-2018 | 2020-04-15 |
| 1417382375 | Dominique Davis | Social Worker | 900 Walt Whitman Rd Ste Ll1, Melville, NY 11747-2215 | 2013-09-11 |
| 1780956037 | Dominique Garcel Davis | Counselor | 701 Loyola Ave Ste 106, New Orleans, LA 70113-1912 | 2012-02-02 |
| Street Address |
700 PARKER AVE APT 9 |
| City | BRADDOCK |
| State | PA |
| Zip Code | 15104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235642612 | Strictlyluxuryhair | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104-1647 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497270540 | Rc Jones Transportation, LLC | Private Vehicle | 134 Harriet Street, Rankin, PA 15104 | 2017-08-10 |
| 1841600400 | Anisa Tate | Counselor | 732 Braddock Ave, Braddock, PA 15104 | 2014-05-05 |
| 1972843050 | Jessica Lynn Gurley | Social Worker | 910 Braddock Ave, Braddock, PA 15104 | 2013-02-26 |
| 1588000152 | Anne Jennings | Family Medicine | 501 Braddock Ave, Braddock, PA 15104 | 2013-05-22 |
| 1124294582 | Michael Albert Bandola | Counselor | 5 East, Upmc Braddock Hospital, Braddock, PA 15104 | 2008-05-06 |
| 1255506549 | Leland Rose | Counselor | 400 Holland Ave, Braddock, PA 15104 | 2008-04-28 |
| 1932274768 | Primary Care Health Services Inc. | Clinic/Center | 300 Rankin Blvd, Rankin, PA 15104-1066 | 2006-11-20 |
| 1528125986 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2007-01-03 |
| 1780964692 | Rankin Christian Center | Case Management | 230 3rd Ave, Rankin, PA 15104-1147 | 2011-08-23 |
| 1013241264 | Stacy Martin | Counselor | 251 Fleet St, Rankin, PA 15104-1150 | 2009-09-21 |
| Find all providers in zip 15104 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235642612 | Strictlyluxuryhair | Prosthetic/Orthotic Supplier | 700 Parker Ave Apt 9, Braddock, PA 15104-1647 | 2017-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041030 | Lawall At Hershey, Inc | Prosthetic/Orthotic Supplier | 2020 Good Hope Rd Lawall At Hershey Inc, Suite 220, 2nd Floor, Enola, PA 17025-1237 | 2020-10-22 |
| 1518573435 | Harry J. Lawall & Son, Inc. | Prosthetic/Orthotic Supplier | 21 N Main St,harry J. Lawall & Son, Inc, Suite 3, Coopersburg, PA 18036-1561 | 2020-09-16 |
| 1386257871 | Shi Shi Collection | Prosthetic/Orthotic Supplier | 6128 W Jefferson St, Philadelphia, PA 19151-3902 | 2020-08-25 |
| 1003438177 | Tosi's Hair Replacement Clinic, Inc. | Prosthetic/Orthotic Supplier | 390 Slocum Ave, Exeter, PA 18643-1194 | 2020-05-12 |
| 1750900114 | Experience Lemieux | Prosthetic/Orthotic Supplier | 900 N 19th St Unit 3247, Philadelphia, PA 19130-1561 | 2020-04-15 |
| 1164055620 | Hanger Prosthetics & Orthotics Inc | Prosthetic/Orthotic Supplier | 20421 Route 19 Ste 100, Cranberry Township, PA 16066-7514 | 2020-02-12 |
| 1730711193 | Lvhn Scranton Orthopedic Specialists | Prosthetic/Orthotic Supplier | 334 Main St Ste 2, Dickson City, PA 18519-1668 | 2020-02-04 |
| 1528607223 | Agape Traders | Prosthetic/Orthotic Supplier | 562 Independence Rd Ste 142, East Stroudsburg, PA 18301-9702 | 2019-12-27 |
| 1891337051 | Pamela Howard | Prosthetic/Orthotic Supplier | 5805 Germantown Ave Fl 2, Philadelphia, PA 19144-2138 | 2019-10-09 |
| 1174172647 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 250 Cetronia Rd Ste 306, Allentown, PA 18104-9168 | 2019-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.