Active NPI
Chase Daniel Davis, DDS
- General Practice Dentistry
- Chandler, AZ
National Provider Identifier
1083993588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- D008289
- Practice address
- 2095 W Frye Rd Ste 4
Chandler, AZ 85224-6280 - Phone
- (480) 917-8400
- NPI assigned
- Aug 15, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | D008289 | AZ | Primary |
Addresses
Primary practice location
2095 W Frye Rd Ste 4
Chandler, AZ 85224-6280
Mailing address
3010 E Fruitvale Ave
Gilbert, AZ 85297-5261
Phone (480) 917-8400
Other practice location 1
6200 S McClintock Dr Ste 115
Tempe, AZ 85283-3449
Phone (480) 838-3103
Other practice location 2
1423 S Higley Rd Ste 101
Mesa, AZ 85206-3449
Phone (480) 396-9900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D008289 | AZ | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mesa Dental PLLC | Past | Accepting new patients | |
| MD Higley PLLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Mesa, AZ
- NPI 1497271068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1083993588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 E FRUITVALE AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852975261",
"telephone_number": "480-917-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2095 W FRYE RD STE 4",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246280",
"telephone_number": "480-917-8400"
}
],
"practiceLocations": [
{
"address_1": "6200 S McClintock Dr Ste 115",
"address_purpose": "LOCATION",
"city": "Tempe",
"state": "AZ",
"postal_code": "852833449",
"country_code": "US",
"telephone_number": "480-838-3103",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1423 S Higley Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852063449",
"country_code": "US",
"telephone_number": "480-396-9900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "CHASE",
"middle_name": "DANIEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-15",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "D008289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.