Susan Davis, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1100 S Buckingham Rd
Sterling, VA 20164-4307

Phone

(703) 655-9458

NPI assigned

Jul 28, 2021

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1144993841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S BUCKINGHAM RD",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644307",
            "telephone_number": "703-655-9458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S BUCKINGHAM RD",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201644307",
            "telephone_number": "703-655-9458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "SUSAN",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center, PLLC (Davary & Smith Oral & Maxillofacial Surgery & Dental Implant Center)
• Sahar Davarzani
• David Berman
• Lori Davidson- Murphy, LMT
• Emily M Davis, BS
• Taylor Leigh Davis, RN
• Tyana Davis
• Michael Robert Dawkins, B.A., B.C.A.T.
• Ashley Heather Dean
• Melinda Gail Debell

• Registered Dietitian in Sterling, VA
• Providers in Sterling, VA by specialty
• Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.