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ETHAN DAVIS
NPI 1477439800
Student in an Organized Health Care Education/Training Program in Joplin, MO

Active since August 12, 2025
3001 SAINT JOHNS BLVD, JOPLIN, MO 64804(417) 612-1821 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ethan Davis NPPES

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

ETHAN DAVIS (NPI 1477439800) is an individual student in an organized health care education/training program in Joplin, Missouri and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1477439800
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameETHAN DAVIS
Location Address3001 SAINT JOHNS BLVDJoplin, MO 64804-1884
Mailing Address3001 Saint Johns BlvdJoplin, MO 64804-1884
Phone(417) 612-1821
Sole ProprietorNo
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1477439800 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.

3001 SAINT JOHNS BLVD, Joplin, MO 64804
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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.

DR. DENNIS MICHAEL ABBOTT D.D.S.
Dentist (General Practice)
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (417) 208-0805
DR. CIERRA BARTON DMD
Dentist (General Practice)
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (417) 208-0630
BRIAN PHOLVICHITR
Student in an Organized Health Care Education/Training Program
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (417) 208-0805
AMARA MBIONWU
Student in an Organized Health Care Education/Training Program
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (417) 208-0805
JODI FLYNT
Student in an Organized Health Care Education/Training Program
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (417) 208-0805
CARMEN CAFARO
Student in an Organized Health Care Education/Training Program
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (623) 552-8801
PAIGE NICOLE OVERGAARD
Student in an Organized Health Care Education/Training Program
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (417) 208-0805
ALI ABDULLAH MALHI
Student in an Organized Health Care Education/Training Program
3001 SAINT JOHNS BLVD
JOPLIN, MO 64804
Newton County (417) 208-0805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Davis's NPI number?

The NPI number for Ethan Davis is 1477439800. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Ethan Davis located?

Ethan Davis practices at 3001 Saint Johns Blvd, Joplin, MO 64804. The listed phone number is (417) 612-1821.

What is Ethan Davis's specialty?

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

When was this NPI record last updated?

The NPPES record for Ethan Davis was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.