Jameson Bert Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1603 Issued in WY

Practice address

1431 S Beverly St
Casper, WY 82609-4131

Phone

(307) 265-5334

NPI assigned

Jun 23, 2021

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Casper Mountain Dental Dba Advanced Family Dental

  • General Practice Dentistry
  • Casper, WY
  • NPI 1164147666

  General Practice

  NPD
• Koentjoro & Le Dentistry PLC

  • General Practice Dentistry
  • Council Bluffs, IA
  • NPI 1104494830

  General Practice

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2023.

{
    "created_epoch": "1624406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1184293169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 S BEVERLY ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094131",
            "telephone_number": "307-265-5334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 S BEVERLY ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826094131",
            "telephone_number": "307-265-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JAMESON",
        "middle_name": "BERT",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-23",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WY",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn R Davies, PMHNP
• Davis Home Health LLC
• Davis Periodontics
• Cynthia Elaine Davis, AA, BA
• Elizabeth Davis
• Jeffrey Thomas Davis, LSPE, LBA, BCBA
• Katherine Verline Davis, MA, LPC
• Lucas Michael Davis, PCSW
• Michael Asay Davis, D.D.S.
• Dana Lydell Day, O.D.

• All providers in Casper, WY
• General Practice Dentistry in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.