Robert A Davis, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS-025969L Issued in PA

Practice address

265 3Rd St
Beaver, PA 15009-2350

Phone

(724) 774-1920

Fax

(724) 774-3332

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dentistry for Children and Teens Inc.

  • Pediatric Dentistry
  • East Liverpool, OH
  • NPI 1861492548
  NPD (past) Authorized official

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114077872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 3RD ST",
            "address_2": "PO BOX 265",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "724-774-1920",
            "fax_number": "724-774-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 3RD ST",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092350",
            "telephone_number": "724-774-1920",
            "fax_number": "724-774-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS-025969L",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "30-02-0258",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2007689",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011644380001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cutich Chiropractic
• David J Cutich, DC
• Daniel J Nadler MD PC
• Stephen Joseph Dauria, M.D.
• Renee C Davis, OTR/L
• DCP of Pennsylvania (Beaver Valley), Inc.
• Robert E. Deacon, M.D.
• Rhonda Deakin, RN
• Albert A Dedominicis III, MS,LBS
• Roman Y Dejesus, M.D.

• Pediatric Dentistry in Beaver, PA
• Providers in Beaver, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.