Active NPI
William O. Davis, DDS
- General Practice Dentistry
- McAllen, TX
National Provider Identifier
1013174879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D12719
- Legal business name
- WILLIAM O. DAVIS, DDS
- Practice address
- 1421 N 10TH St
McAllen, TX 78501-4319 - Phone
- (956) 631-5481
- Fax
- (956) 618-1776
- NPI assigned
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William O. Davis, D.D.S.
- Title
- Owner
- Phone
- (956) 631-5481
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D12719 | TX | Primary |
| Pediatric Dentistry | 1223P0221X | 21597 | TX |
Addresses
Primary practice location
1421 N 10TH St
McAllen, TX 78501-4319
Mailing address
1421 N 10TH St
McAllen, TX 78501-4319
Phone (956) 631-5481
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 165105103 | Medicaid | TX | |
| 008143201 | Medicaid | TX | |
| 090610901 | Medicaid | TX |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- McAllen, TX
- NPI 1164766168
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1013174879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1421 N 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014319",
"telephone_number": "956-631-5481",
"fax_number": "956-618-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1421 N 10TH ST",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785014319",
"telephone_number": "956-631-5481",
"fax_number": "956-618-1776"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM O. DAVIS, DDS",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "956-631-5481",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "D12719",
"primary": true
},
{
"code": "1223P0221X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "21597",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165105103",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008143201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090610901",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.