NPIMap

Organization Active NPI

Dale C Davis DDS PC

  • General Practice Dentistry
  • Phoenix, AZ
National Provider Identifier
1093846586
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2069 Issued in AZ
Legal business name
DALE C DAVIS DDS PC
Practice address
3132 N 7TH Street
Phoenix, AZ 85014-5430
Phone
(602) 248-8176
Fax
(602) 230-0656
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dale C Davis, DDSNPI 1659763597
Title
President
Phone
(602) 248-8176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2069 AZ Primary

Addresses

Primary practice location

3132 N 7TH Street
Phoenix, AZ 85014-5430

Mailing address

3132 N 7TH Street
Phoenix, AZ 85014-5430
Phone (602) 248-8176

National Provider Directory

National Provider Directory

Locations

3132 N 7th St
Phoenix, AZ 85014
Phone (602) 248-8176

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093846586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3132 N 7TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145430",
            "telephone_number": "602-248-8176",
            "fax_number": "602-230-0656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3132 N 7TH STREET",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850145430",
            "telephone_number": "602-248-8176",
            "fax_number": "602-230-0656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALE C DAVIS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "602-248-8176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "2069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.