Clayton Davis, DDS.MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN 21976 Issued in FL

Practice address

8940 N. Kendall Drive 604E
Miami, FL 33176

Phone

(902) 412-7005

NPI assigned

Jul 28, 2016

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1073066759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N. KENDALL DRIVE 604E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "902-412-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N. KENDALL DRIVE 604E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "902-412-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLAYTON",
        "name_prefix": "Dr.",
        "credential": "DDS.MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN 21976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Teresita Davis, MD
• Antionette Marie Davis
• Antonio Javaun Davis, BS
• Chelsi Davis, MS, ATC, LAT
• Christine B Davis, M.D.
• Edith Davis, MD
• Eileen Matias Davis, PH.D.
• Eunice Lorine Davis, LMHC
• Gabriell Cohen Davis
• Imaze Marian Davis, D.P.M

• Oral and Maxillofacial Surgery (Dentist) in Miami, FL
• Providers in Miami, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.