Sara Davidson, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SARA DAVIDSON, DDS, PC

Practice address

170 Petticoat LN
Walnut Creek, CA 94596-5017

Phone

(925) 932-4811

NPI assigned

Oct 27, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Sara Davidson, DDSNPI 1134516156

Title

Doctor

Phone

(415) 515-8616

Specialties & licenses 1

Addresses

Other names 2

• Sara Davidson, DDS, PC Doing business as
• Walnut Creek Dental Studio Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sara Davidson, DDS

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1134516156
  NPD Authorized official
• Dwight David Loder, DDS

  • General Practice Dentistry
  • Walnut Creek, CA
  • NPI 1538287784
  NPD (past)

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607126400000",
    "number": "1083214282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 PETTICOAT LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965017",
            "telephone_number": "925-932-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 PETTICOAT LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965017",
            "telephone_number": "925-932-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARA DAVIDSON, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-12-05",
        "certification_date": "2020-12-05",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "415-515-8616",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sara Davidson, DDS, PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walnut Creek Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristine Santiano, MD
• Lorran Santos
• Talita Santos
• Meontae Ebony Sapp
• Suneeti P. Sapru, MD
• Mariana Alexandra Saravia, RN
• Sarah Sardella
• Stephen Sardella, LMFT
• Ryan Sargent, A.T.C.
• Puja K Sarna, NP

• General Practice Dentistry in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.