ANDREW DAVID DAVALT PAC
NPI 1164445185
Physician Assistant - Surgical in Denver, CO

Q: What is Andrew Davalt's NPI number?

The NPI number for Andrew Davalt is 1164445185. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Andrew Davalt's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Davalt was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 25, 2006

2045 N FRANKLIN ST, DENVER, CO 80205(303) 338-4545 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 28, 2021, Jun 27, 2018 (2 updates tracked since 2018).

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About Andrew David Davalt Pac NPPES

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

ANDREW DAVID DAVALT PAC (NPI 1164445185) is an individual surgical provider in Denver, Colorado, licensed in Colorado (PA 2257) and active in the NPI registry since July 2006. He maintains a secondary practice location in Englewood.

NPPES Registry Identity

NPI1164445185

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameANDREW DAVID DAVALTCredential: PAC

Location Address2045 N FRANKLIN STDenver, CO 80205-5437

Mailing Address10350 E Dakota AveDenver, CO 80247-1314

Phone(303) 338-4545

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateApril 28, 20212 updates tracked since enumeration

NPPES CertifiedApril 28, 2021

✔ NPI 1164445185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in CO · PA 2257

2045 N FRANKLIN ST, Denver, CO 80205

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Secondary Practice Location 1

Location 13277 S Lincoln StEnglewood, CO 80113-2512 · Phone (303) 762-0808 · Fax (303) 762-9292

Other Identifiers 1

OtherPA 2257CO · State License

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.

DR. ROBERT WARD BURMAN M.D., PH.D.

Radiology (Diagnostic Radiology)