Gina R. Davis DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6813 Issued in NC

Legal business name

GINA R. DAVIS DDS PA

Practice address

10320 Mallard Creek Rd
Suite 160
Charlotte, NC 28262-9756

Phone

(704) 547-8734

Fax

(704) 547-9605

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gina Renee Davis, DDSNPI 1902972342

Title

Owner

Phone

(704) 547-8734

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gina Renee Davis, D.D.S.

  • General Practice Dentistry
  • Charlotte, NC
  • NPI 1902972342
  NPD (past) Authorized official

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174679633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD",
            "address_2": "SUITE 160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629756",
            "telephone_number": "704-547-8734",
            "fax_number": "704-547-9605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 MALLARD CREEK RD",
            "address_2": "SUITE 160",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282629756",
            "telephone_number": "704-547-8734",
            "fax_number": "704-547-9605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINA R. DAVIS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-547-8734",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robinson M. Gilmore, CRNA
• Ian James Gilmour, MD
• Joshua Allen Gilpin
• Tyral Victoria Gilreath, FNP
• Rebecca Ann Gimpert, PA
• Troy C. Gingerich, MD
• Victoria Gingles
• Gingras Sleep Medicine PA
• Jeannine Louise Gingras, M.D.
• Mark Gingrich, CO

• General Practice Dentistry in Charlotte, NC
• Providers in Charlotte, NC by specialty
• General Practice Dentistry in North Carolina

• 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.