Mark C. Davis, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MARK C. DAVIS, DDS, PC

Doing business as

Crane Mountain Dental

Practice address

1339 S 9TH St
Lakeview, OR 97630-1919

Phone

(541) 947-4066

NPI assigned

Aug 13, 2024

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christy Dupin

Title

Manager

Phone

(480) 674-4151

Specialties & licenses 2

Addresses

Other names 1

• Crane Mountain Dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexander Johnson

  • General Practice Dentistry
  • Lakeview, OR
  • NPI 1508685603
  NPD

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1023849841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1339 S 9TH ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301919",
            "telephone_number": "541-947-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 S 9TH ST",
            "city": "LAKEVIEW",
            "state": "OR",
            "postal_code": "976301919",
            "telephone_number": "541-947-4066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK C. DAVIS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-13",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DUPIN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-674-4151"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crane Mountain Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Renee Lewis, DPT
• Jane Lincoln, MSW
• Lutheran Community Services NW
• Amron L Lym, DPT
• Mae Medical
• Leiann Jane Marshall, CASE MANAGER
• Heidi Shauna Martinez, M.A., LPC
• Karen Ann McClain
• Jackie D McDougle
• Ryan Richard McDougle, M.A., QMHP

• General Practice Dentistry in Lakeview, OR
• Providers in Lakeview, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.