Mark Chandler Davis, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D8238 Issued in OR

Practice address

2301 Mountain View Blvd
Suite D
Klamath Falls, OR 97601-1137

Phone

(541) 882-9039

Fax

(541) 850-8840

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

No

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

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Crane Mountain LLC

  • General Practice Dentistry
  • Yreka, CA
  • NPI 1528939329
  NPD Authorized official
• Davis Dental Corporation

  • General Practice Dentistry
  • Yreka, CA
  • NPI 1598623639
  NPD Authorized official
• Klamath Smiles, LLC

  • Dental Clinic/Center
  • Klamath Falls, OR
  • NPI 1669853487
  NPD (past) Authorized official
• Mark Davis, DDS PC

  • Dental Clinic/Center
  • Klamath Falls, OR
  • NPI 1013399641
  NPD (past) Authorized official

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184742579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD",
            "address_2": "SUITE D",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011137",
            "telephone_number": "541-882-9039",
            "fax_number": "541-850-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 MOUNTAIN VIEW BLVD",
            "address_2": "SUITE D",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011137",
            "telephone_number": "541-882-9039",
            "fax_number": "541-850-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MARK",
        "middle_name": "CHANDLER",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D8238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karee Davis Hernandez
• Aaron Michael Davis, DMD
• Andrea Davis
• Carol Ann Davis I, LMT
• Dorothy Mae Davis
• Michelle R Davis, QMHA
• Patricia Lee Davis, CADC-R
• Day Break Counseling LLC
• Kashia Ann Day Story
• Dianndra De la Cruz

• Dentist in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.