DR. TIMOTHY JOHN-ALDEN DAVIS MD
NPI 1366296683
Student in an Organized Health Care Education/Training Program in Temple, TX

Q: What is Timothy Davis's NPI number?

The NPI number for Timothy Davis is 1366296683. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Q: What is Timothy 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 Timothy Davis was last updated on March 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 15, 2024PECOS Enrolled

2401 S 31ST ST, TEMPLE, TX 76508(254) 724-2111 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 30, 2026, Apr 7, 2025, Apr 15, 2024 (3 updates tracked since 2024).

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About Dr. Timothy John-alden Davis Md NPPES

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

DR. TIMOTHY JOHN-ALDEN DAVIS MD (NPI 1366296683) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366296683

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. TIMOTHY JOHN-ALDEN DAVISCredential: MD

Location Address2401 S 31ST STTemple, TX 76508-0001

Mailing Address2401 S 31st StTemple, TX 76508-0001

Phone(254) 724-2111

Sole ProprietorNo

Enumeration DateApril 15, 2024

Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration

NPPES CertifiedMarch 30, 2026

✔ NPI 1366296683 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.

2401 S 31ST ST, Temple, TX 76508

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Timothy John-alden Davis Md 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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