Active NPI
Joshua Michael Davis, DDS, MS
- Endodontics
- Abilene, TX
National Provider Identifier
1124282900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 23779
- Practice address
- 4601 Buffalo Gap Rd
Suite C-1
Abilene, TX 79606-3375 - Phone
- (325) 695-7668
- NPI assigned
- Jul 11, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 23779 | TX | Primary |
Addresses
Primary practice location
4601 Buffalo Gap Rd
Suite C-1
Abilene, TX 79606-3375
Mailing address
4601 Buffalo Gap Rd
Suite C-1
Abilene, TX 79606-3375
Phone (325) 695-7668
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1124282900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 BUFFALO GAP RD",
"address_2": "SUITE C-1",
"city": "ABILENE",
"state": "TX",
"postal_code": "796063375",
"telephone_number": "325-695-7668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 BUFFALO GAP RD",
"address_2": "SUITE C-1",
"city": "ABILENE",
"state": "TX",
"postal_code": "796063375",
"telephone_number": "325-695-7668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOSHUA",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-11",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "23779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.