NPIMap

Organization Active NPI

Davidian & Associates

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1043438872
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
200001357583 Issued in NC
Legal business name
DAVIDIAN & ASSOCIATES
Practice address
3917 Sunset Ridge Rd
Raleigh, NC 27607-6415
Phone
(919) 783-9686
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jodi Hudson
Title
Business Administrator
Phone
(919) 783-9686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 200001357583 NC Primary

Addresses

Primary practice location

3917 Sunset Ridge Rd
Raleigh, NC 27607-6415

Mailing address

3917 Sunset Ridge Rd
Raleigh, NC 27607-6415

Other names 1

  • Sedation Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

3917 Sunset Ridge Rd
Raleigh, NC 27607
Phone (919) 783-9686

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": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043438872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3917 SUNSET RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3917 SUNSET RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076415",
            "telephone_number": "919-783-9686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIDIAN & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "919-783-9686"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "200001357583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sedation Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.