Austin Reece Davis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.10166 Issued in SC

Practice address

1571 SC - 544
Conway, SC 29526

Phone

(843) 347-4190

NPI assigned

Jun 2, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Austin R Davis DMD PLLC

  • General Practice Dentistry
  • Rocky Point, NC
  • NPI 1386475358
  NPD Authorized official
• Grand Strand Dentistry PA

  dba Grand Strand Dentistry

  • Dentist
  • Conway, SC
  • NPI 1922834712
  NPD

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1063151579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5308 ARROW CT",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284127746",
            "telephone_number": "910-352-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1571 SC - 544",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "AUSTIN",
        "middle_name": "REECE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.10166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dentistry",
            "affiliation": "N",
            "endpointDescription": "Dental office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1571 SC - 544",
            "city": "Conway",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cole Dattel
• David Cary Daubenspeck, DMD
• Kairavee Dave, MD
• Reginald Forrest Daves, MD
• Alison Nicole Davis, MSN, APRN, FNP-C
• Brittni Elizabeth Davis, FNP-BC
• Charlene Davis, MA
• Connie Rae Davis
• Naomi De Cristo, RN
• Sarah M Dean, NP

• General Practice Dentistry in Conway, SC
• Providers in Conway, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.