Active NPI
Nathaniel Davis,DDS,PC
- General Practice Dentistry
- Southfield, MI
National Provider Identifier
1114149374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- NATHANIEL DAVIS,DDS,PC
- Practice address
- 24060 West 10 Mile
Suite 101
Southfield, MI 48033 - Phone
- (248) 350-9415
- Fax
- (248) 350-9412
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nathaniel Davis, DDS
- Title
- Dentist
- Phone
- (248) 350-9415
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
24060 West 10 Mile
Suite 101
Southfield, MI 48033
Mailing address
24060 W 10 Mile Rd
Suite 101
Southfield, MI 48033-3006
Phone (248) 350-9415
National Provider Directory
National Provider DirectoryLocations
24060 W 10 Mile Rd
Ste 101
Southfield, MI 48033
Phone (248) 350-9415
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Southfield, MI
- NPI 1356441000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214438400000",
"number": "1114149374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24060 W 10 MILE RD",
"address_2": "SUITE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480333006",
"telephone_number": "248-350-9415",
"fax_number": "248-350-9412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24060 WEST 10 MILE",
"address_2": "SUITE 101",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "48033",
"telephone_number": "248-350-9415",
"fax_number": "248-350-9412"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NATHANIEL DAVIS,DDS,PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2008-06-26",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "NATHANIEL",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "248-350-9415",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 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.