KEITH J DAVIS (NPI# 1184183758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184183758 |
| Entity Type | Individual |
| Full Name | KEITH J DAVIS |
| Practice Address |
8113 Crimson Creek Ct Las Vegas NV 89139-6909 |
| Practice Telephone | 7026128500 |
| Mailing Telephone | 7026128500 |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2019-03-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225668213 | Keith Davis | Registered Nurse | 10 Elpaso Ct, East Northport, NY 11731-5628 | 2020-01-19 |
| 1982115036 | Keith W Davis | Chiropractor | 815 E Baseline Rd Ste 106, Tempe, AZ 85283-1572 | 2017-10-17 |
| 1154682573 | Keith Phillip Davis | Pharmacist | 8640 Se Causey Ave Apt S202, Happy Valley, OR 97086-8595 | 2012-06-01 |
| 1528184199 | Keith Alan Davis | Chiropractor | 4640 N Francisco Ave, Chicago, IL 60625-3723 | 2007-03-22 |
| 1346315025 | Keith L Davis | Dentist | 100 Chelsea Corners Way Ste 113, Chelsea, AL 35043-8207 | 2006-11-21 |
| 1952488215 | Keith L Davis | Family Medicine | 741 Scholl Rd, Ste A, Mansfield, OH 44907 | 2006-11-01 |
| 1639268089 | Keith Alan Davis | Ophthalmology | 1011 Sylvan Ave Ste C, Modesto, CA 95350-1693 | 2006-10-12 |
| 1699875419 | Keith G Davis | Chiropractor | 722 Front Street, Casselton, ND 58012-3302 | 2006-09-22 |
| 1104849884 | Keith C. Davis | Dentist | 975 N Church St, Spartanburg, SC 29303-4104 | 2006-07-25 |
| 1043277635 | Keith E Davis | Family Medicine | 113 S Apple St, Shoshone, ID 83352-5287 | 2006-04-27 |
| Street Address |
8113 CRIMSON CREEK CT |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89139-6909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440116 | Cynrg Enterprises LLC | Marriage & Family Therapist | 6578 Creekside Cellars Court, Las Vegas, NV 89139 | 2020-02-27 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1851847404 | Sports LLC | Physical Therapist | 7770 Dean Martin Dr Ste 307, Las Vegas, NV 89139 | 2016-09-01 |
| 1790134179 | Jubert C Aranas LLC | Dentist | 7460 S. Rainbow Blvd., Suite 100, Las Vegas, NV 89139 | 2016-06-07 |
| 1245533207 | Maryanne D. Phillips Md Apc | Anesthesiology | 7835 S Rainbow Bl, Ste 15, Las Vegas, NV 89139 | 2010-12-14 |
| 1093015612 | Eboni Abah | Behavioral Analyst | 777 South Jones Ave, Las Vegas, NV 89139 | 2010-10-29 |
| 1669600896 | Min Kyu Kim | Dentist | 8035 S Rainbow Blvd # 102, Las Vegas, NV 89139 | 2009-06-25 |
| 1790924587 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 3692 Blue Diamond Road, Las Vegas, NV 89139 | 2009-02-18 |
| 1487820973 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 4800 Blue Diamond Rd, Las Vegas, NV 89139 | 2008-05-05 |
| 1588842702 | Watanabe Diamond Dental Group, Professional Corporation | Dentist | 4380 Blue Diamond Road, Suite 102, Las Vegas, NV 89139 | 2008-02-11 |
| Find all providers in zip 89139 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902312184 | Rena Smith | Psychologist | 1344 N Jones Blvd, Las Vegas, NV 89108-1612 | 2017-12-24 |
| 1023533577 | Debra Denise Dear | Psychologist | 6347 W Eldorado Ln, Las Vegas, NV 89139-5316 | 2017-08-06 |
| 1407380850 | Karen Petty | Psychologist | 6628 Beacon Rd, Las Vegas, NV 89108-5390 | 2017-04-12 |
| 1730610890 | Cassandra Virgil | Psychologist | 4176 Mississippi Ave, Las Vegas, NV 89103-2799 | 2017-03-21 |
| 1518335678 | Marie Irving | Psychologist | 6732 Theus Cir, Las Vegas, NV 89107-3386 | 2015-09-07 |
| 1528477551 | Annette Guajardo | Psychologist | 10554 Corte Sierra St, Las Vegas, NV 89183-4655 | 2014-08-04 |
| 1124439500 | Larhonya Michelle Richards | Psychologist | 6328 Kell Ln, Las Vegas, NV 89156-7008 | 2014-05-19 |
| 1871914390 | Amy Soto | Psychologist | 4550 W Oakey Blvd Ste 111-q, Las Vegas, NV 89102-1581 | 2013-12-31 |
| 1427486570 | Tarazu | Psychologist | 4560 S Eastern Ave Ste 17, Las Vegas, NV 89119-6182 | 2013-10-29 |
| 1295169118 | Serina Arlene Oehler | Psychologist | 6529 Burgundy Way, Las Vegas, NV 89107-3335 | 2013-08-27 |
| Find all providers in LAS VEGAS | ||||
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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.