ARTHUR RAYMOND DAVIS III
NPI 1083408835
Student in an Organized Health Care Education/Training Program in Sioux Falls, SD

Q: What is Arthur Davis's NPI number?

The NPI number for Arthur Davis is 1083408835. It was assigned to this individual provider in the NPPES registry on April 7, 2025. The provider is also known as Trey Raymond Davis.

Q: What is Arthur Davis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Arthur Davis was last updated on April 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 07, 2025PECOS Enrolled

1400 W 22ND ST, SIOUX FALLS, SD 57105(605) 333-7197 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Arthur Raymond Davis Iii NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ARTHUR RAYMOND DAVIS III (NPI 1083408835) is an individual student in an organized health care education/training program in Sioux Falls, South Dakota and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux Falls.

NPPES Registry Identity

NPI1083408835

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameARTHUR RAYMOND DAVIS III

Location Address1400 W 22ND STSioux Falls, SD 57105-1554

Mailing Address16914 Brigadoon TrlGulf Shores, AL 36542-8254 · (251) 223-9293

Phone(605) 333-7197

Sole ProprietorNo

Enumeration DateApril 7, 2025

NPPES CertifiedApril 7, 2025

✔ NPI 1083408835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1400 W 22ND ST, Sioux Falls, SD 57105

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Other Names 1

Other Name (5)Trey Raymond Davis

Secondary Practice Location 1

Location 11115 E 20th StSioux Falls, SD 57105-1013 · Phone (605) 575-1644

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Arthur Raymond Davis Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA SEBALIA KOENEN MD

Student in an Organized Health Care Education/Training Program