IndividualActive
Andrew Davalt, PAC
NPI 1164445185 · Surgical Physician Assistant · Denver, CO
Provider details
- NPI number
- 1164445185
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PAC
- Sex
- Male
- Sole proprietor
- No
- License
- PA 2257 (CO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(100/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2045 N Franklin St
Denver, CO 80205-5437
Phone: (303) 338-4545
Street-level locationGet directions
Mailing address
10350 E Dakota Ave
Denver, CO 80247-1314
Additional practice locations (2)
- 3277 S Lincoln StEnglewood, CO 80113-2512Phone: (303) 762-0808Fax: (303) 762-9292
- 3277 S Lincoln StEnglewood, CO 80113Phone: (303) 762-0808Fax: (303) 762-9292
Registry dates
- Enumerated
- 2006-07-25
- Last updated
- 2021-04-28
- Certified
- 2021-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.