Individual provider Active NPI

Ronald Owen Davies, DDS

  • Dental Anesthesiology
  • Laguna Niguel, CA
National Provider Identifier
1013113414
Registry record updated May 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
24762 Issued in CA
Practice address
28241 Crown Valley Pkwy PMB 620
Ste. F 620
Laguna Niguel, CA 92677-4441
Phone
(949) 362-9690
Fax
(949) 448-8858
NPI assigned
Jun 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Anesthesiology 1223D0004X 24762 CA Primary

Addresses

Primary practice location

28241 Crown Valley Pkwy PMB 620
Ste. F 620
Laguna Niguel, CA 92677-4441

Mailing address

28241 Crown Valley Pky PMB 620
Ste F 620
Laguna Niguel, CA 92677
Phone (949) 362-9690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Nov 6, 2015 through Nov 6, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24762CAMDDentist Anesthesiologist

NPI Registry JSON

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1013113414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKY PMB 620",
            "address_2": "STE F 620",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "92677",
            "telephone_number": "949-362-9690",
            "fax_number": "949-448-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28241 CROWN VALLEY PKWY PMB 620",
            "address_2": "STE. F 620",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926774441",
            "telephone_number": "949-362-9690",
            "fax_number": "949-448-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "RONALD",
        "middle_name": "OWEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "CA",
            "license": "24762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.