Organization Active NPI

Gwyn Davis, DMD & Assoc PA

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1134181795
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
GWYN DAVIS, DMD & ASSOC PA
Practice address
8420 University Exec Park Dr
Suite 805
Charlotte, NC 28262-3381
Phone
(704) 594-9250
NPI assigned
Apr 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gwyn Davis, DMDNPI 1003873746
Title
Dentist
Phone
(704) 594-9250

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

8420 University Exec Park Dr
Suite 805
Charlotte, NC 28262-3381

Mailing address

8420 University Exec Park Dr
Suite 805
Charlotte, NC 28262-3381
Phone (704) 594-9250

National Provider Directory

National Provider Directory

Locations

8420 University Exec Park Dr
Ste 805
Charlotte, NC 28262
Phone (704) 594-9250

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134181795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8420 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 805",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623381",
            "telephone_number": "704-594-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8420 UNIVERSITY EXEC PARK DR",
            "address_2": "SUITE 805",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623381",
            "telephone_number": "704-594-9250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWYN DAVIS, DMD & ASSOC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GWYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "704-594-9250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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 Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.