NPIMap

Organization Active NPI

Gerald Davis, DDS, Inc PC

  • Dentist
  • Duncan, OK
National Provider Identifier
1104923465
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4461-83 Issued in OK
Legal business name
GERALD DAVIS, DDS, INC PC
Practice address
1309 Jackie Rd
Duncan, OK 73533
Phone
(580) 255-3570
Fax
(580) 255-5015
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Authorized official

Name
Dr. Gerald Dewayne Davis, DDSNPI 1316070220
Title
Dentist
Phone
(580) 255-3570

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 4461-83 OK Primary

Addresses

Primary practice location

1309 Jackie Rd
Duncan, OK 73533

Mailing address

1309 Jackie Rd
Duncan, OK 73533
Phone (580) 255-3570

National Provider Directory

National Provider Directory

Locations

2434 Harville Rd
Ste 401
Duncan, OK 73533
Phone (580) 255-3570

Practitioners & affiliated clinicians

Practitioners 2

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": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1104923465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 JACKIE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-255-3570",
            "fax_number": "580-255-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 JACKIE RD",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "73533",
            "telephone_number": "580-255-3570",
            "fax_number": "580-255-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD DAVIS, DDS, INC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "580-255-3570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "4461-83",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duncan, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.