David W Davis, DMD, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

D6030.C1 Issued in AL

Practice address

901 Leighton Ave Ste 401
Anniston, AL 36207-5703

Phone

(256) 236-6090

NPI assigned

Mar 26, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Oral Surgery

Education

University of Alabama School of Dentistry, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Shelby Oral Facial Surgery, P.C.Group PAC ID 1456516624, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040
• Emory Decatur Hospital Hospital, Decatur, GA, CCN 110076
• Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Shelby Oral Facial Surgery PC

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Alabaster, AL
  • NPI 1366701450
  Medicare reassignment Care Compare group NPD
• Birmingham Family Dental Services

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1447363387
  NPD (past)
• G.F. Atwell Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Anniston, AL
  • NPI 1043530892
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gadsden Regional Medical Center LLC

  • General Acute Care Hospital
  • Gadsden, AL
  • NPI 1225081516
  Care Compare affiliation
• The Health Care Authority of the City of Anniston

  • General Acute Care Hospital
  • Anniston, AL
  • NPI 1003996000
  Care Compare affiliation
• Dekalb Medical Center, Inc.

  • General Acute Care Hospital
  • Decatur, GA
  • NPI 1093716979
  Care Compare affiliation

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1104168244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "167 ROME BEAUTY CIR",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362034859",
            "telephone_number": "478-960-9392",
            "fax_number": "256-547-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 LEIGHTON AVE STE 401",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075703",
            "telephone_number": "256-236-6090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Professional Pl Ste 105",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173827",
            "country_code": "US",
            "telephone_number": "770-832-8819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 1st St N",
            "address_purpose": "LOCATION",
            "city": "Alabaster",
            "state": "AL",
            "postal_code": "350078707",
            "country_code": "US",
            "telephone_number": "205-208-0167",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817A Riverbend Dr",
            "address_purpose": "LOCATION",
            "city": "Gadsden",
            "state": "AL",
            "postal_code": "359012556",
            "country_code": "US",
            "telephone_number": "256-547-5731 x25654",
            "fax_number": "256-547-5735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-26",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "AL",
            "license": "36271",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "D6030.C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rene Davidson, P.T.
• Angela L Davis
• Austin T Davis, DMD
• Dana K Davis, PH.D.
• Darlene Lanelle Davis, LPC
• Stephanie Nicole Davis, CRNFA
• Haley Graham Dendy, DPT
• Dennis Counseling
• Tashua Berry Dennis, LICSW, LPC
• Designer Smiles of Al, Inc.

• Oral and Maxillofacial Surgery (Dentist) in Anniston, AL
• Providers in Anniston, AL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.