Emily Jane Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

34198 Issued in TX

Practice address

4521 S Hulen St Ste 114
Fort Worth, TX 76109-4954

Phone

(817) 924-4595

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1124671094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 ALICIA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761337401",
            "telephone_number": "817-913-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 S HULEN ST STE 114",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094954",
            "telephone_number": "817-924-4595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 S Lake St",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761044374",
            "country_code": "US",
            "telephone_number": "817-918-3885",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1012 S Crowley Rd Ste C",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "TX",
            "postal_code": "760363664",
            "country_code": "US",
            "telephone_number": "817-662-0377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "EMILY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lanise Davis, MA, LLPC
• Darrica Racquel Davis, AGPCNP
• Delaney Anne Davis
• Demetria M Davis, LVN
• Dustin Davis, FNP-C
• Gracie Davis
• Gretchen Davis
• Haley Davis, SLP
• Hannah Doreen Davis, PA-C
• Heather Nicole Davis, APRN

• General Practice Dentistry in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.