Organization Active NPI

DRS. Kurtis and Joanne Davis, P.C.

  • General Practice Dentistry
  • Stockbridge, GA
National Provider Identifier
1174668206
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DRS. KURTIS AND JOANNE DAVIS, P.C.
Practice address
1100 Eagles Landing Pkwy
Ste. a
Stockbridge, GA 30281-7271
Phone
(770) 389-0389
Fax
(770) 389-8644
NPI assigned
Feb 20, 2007
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. Kurtis R Davis, D.M.D.NPI 1477719961
Title
Officer
Phone
(770) 389-0389

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

1100 Eagles Landing Pkwy
Ste. a
Stockbridge, GA 30281-7271

Mailing address

1100 Eagles Landing Pkwy
Ste. a
Stockbridge, GA 30281-7271
Phone (770) 389-0389

National Provider Directory

National Provider Directory

Locations

1100 Eagles Landing Pkwy
Ste A
Stockbridge, GA 30281
Phone (470) 488-2381

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174668206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 EAGLES LANDING PKWY",
            "address_2": "STE. A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817271",
            "telephone_number": "770-389-0389",
            "fax_number": "770-389-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 EAGLES LANDING PKWY",
            "address_2": "STE. A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817271",
            "telephone_number": "770-389-0389",
            "fax_number": "770-389-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. KURTIS AND JOANNE DAVIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KURTIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "770-389-0389",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "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 Stockbridge, GA

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.