Daniel B. Davidson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D1813 Issued in ID

Legal business name

DANIEL B. DAVIDSON

Practice address

509 W Hanley Ave
Suite 201
Coeur D Alene, ID 83815-8994

Phone

(208) 667-5447

Fax

(208) 666-8918

NPI assigned

May 13, 2014

Organization subpart

No

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

Authorized official

Name

Daniel B. Davidson, DMD

Title

Olwner

Phone

(208) 667-5447

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1399939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399939200000",
    "number": "1194136150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 W HANLEY AVE",
            "address_2": "SUITE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-667-5447",
            "fax_number": "208-666-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 W HANLEY AVE",
            "address_2": "SUITE 201",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158994",
            "telephone_number": "208-667-5447",
            "fax_number": "208-666-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL B. DAVIDSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-13",
        "last_updated": "2014-05-13",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OLWNER",
        "authorized_official_telephone_number": "208-667-5447",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "D1813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.