Najjiyya Davenport

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417145 Issued in VA

Practice address

5727 Allin Rd
Prince George, VA 23875-2343

Phone

(804) 862-4416

NPI assigned

Apr 17, 2017

Last updated

Aug 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1043744030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 749632",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303749632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5727 ALLIN RD",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238752343",
            "telephone_number": "804-862-4416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "456 Charles H Dimmock Pkwy",
            "address_purpose": "LOCATION",
            "city": "Colonial Heights",
            "state": "VA",
            "postal_code": "238342936",
            "country_code": "US",
            "telephone_number": "804-520-4088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVENPORT",
        "first_name": "NAJJIYYA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Commonwealth of Virginia State Board of Health (Prince George County Health Department)
• Core Care Community Services
• Core Care Wellness Services LLC
• Morgan L Cox
• Leslie L Cross
• Amorra White Dawson
• Paul Tazewell Deldonna, DDS
• Elizabeth Dillard, M.A.
• Divine Spine Chiropractic
• Kim Parrish Dobson, FNP-C APRN

• General Practice Dentistry in Prince George, VA
• Providers in Prince George, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.