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MR. KENNETH JOHN DAVIS PA-C
NPI 1780714188
Physician Assistant - Medical in Denver, CO

Active since March 06, 2007PECOS EnrolledAccepts Medicare Assignment
101 S FAIRFAX ST, DENVER, CO 80246(303) 993-2629(303) 993-2934 Get Directions Write a Review

NPPES record last updated: February 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 28, 2022, Aug 27, 2020, Sep 29, 2015 (3 updates tracked since 2015).

About Mr. Kenneth John Davis Pa-c NPPES

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

MR. KENNETH JOHN DAVIS PA-C (NPI 1780714188) is an individual medical provider in Denver, Colorado, licensed in Colorado (1755) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1780714188
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH JOHN DAVISCredential: PA-C
Location Address101 S FAIRFAX STDenver, CO 80246-3135
Mailing Address101 S Fairfax StDenver, CO 80246-3135 · (303) 993-2629 · Fax (303) 993-2934
Phone(303) 993-2629
Fax(303) 993-2934
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 6, 2007
Last NPPES UpdateFebruary 28, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2022
✔ NPI 1780714188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in CO · 1755
101 S FAIRFAX ST, Denver, CO 80246
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1595 Russell StCraig, CO 81625 · Phone (970) 824-1020 · Fax (970) 824-5300
Location 23001 S Lincoln Ave Ste ASteamboat Springs, CO 80487-1790 · Phone (970) 875-2750

Other Identifiers 1

Medicaid49583735CO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Kenneth John Davis Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6507958048
PECOS Enrollment IDI20070828000909
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.

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 Kenneth Davis's NPI number?

The NPI number for Kenneth Davis is 1780714188. It was assigned to this individual provider in the NPPES registry on March 6, 2007.

Where is Kenneth Davis located?

Kenneth Davis practices at 101 S Fairfax St, Denver, CO 80246. The listed phone number is (303) 993-2629.

What is Kenneth Davis's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Davis enrolled in Medicare?

Yes. Kenneth Davis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kenneth Davis accept?

Health plans from UnitedHealthcare list Kenneth Davis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Davis was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.