Nolan Ellis Davis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

7848 Issued in NC

Practice address

155 Hickman Ave
Hudson, NC 28638-2449

Phone

(907) 209-9250

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Yakutat Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yakutat, AK
  • NPI 1124741665
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250726400000",
    "number": "1013003268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10945 GLACIER HWY",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998018589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 HICKMAN AVE",
            "city": "HUDSON",
            "state": "NC",
            "postal_code": "286382449",
            "telephone_number": "907-209-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "NOLAN",
        "middle_name": "ELLIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2009-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "7848",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AK",
            "license": "1145",
            "primary": false
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "AK",
            "license": "1145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Elaine Cotton, MD
• Benjamin Scott Crawford, DMD
• Pamela Regina Crouch, COTA/L
• Mark Crump, RPH
• Karson Elaine Davis, M.S., CCC-SLP
• Dr. Ralph W Maynard III OD PA
• Pooja Duggaraju, PHARMD
• Eckerd Corporation
• Callie Marie Ernst, PHARM.D
• Eyemart Express LLC

• Dentist in Hudson, NC
• Providers in Hudson, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.