NPIMap

Organization Active NPI

Mark Davis, DDS PC

  • Dental Clinic/Center
  • Klamath Falls, OR
National Provider Identifier
1013399641
Registry record updated Jun 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D8238 Issued in OR
Legal business name
MARK DAVIS, DDS PC
Practice address
2301 Mountain View Blvd Ste D
Klamath Falls, OR 97601-1137
Phone
(541) 882-9039
Fax
(866) 437-2057
NPI assigned
Jun 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2015

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

Authorized official

Name
Mark C Davis, DDSNPI 1184742579
Title
Owner
Phone
(541) 947-4066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D8238 OR Primary

Addresses

Primary practice location

2301 Mountain View Blvd Ste D
Klamath Falls, OR 97601-1137

Mailing address

733 N 1St St
Lakeview, OR 97630-1507
Phone (541) 947-4066

National Provider Directory

National Provider Directory

Locations

733 N 1st St
Lakeview, OR 97630
Phone (541) 600-2535

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1013399641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 N 1ST ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301507",
            "telephone_number": "541-947-4066",
            "fax_number": "541-947-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD STE D",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011137",
            "telephone_number": "541-882-9039",
            "fax_number": "866-437-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DAVIS, DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-947-4066",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D8238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.