Organization Active NPI

Davis and Davis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Midland, MI
National Provider Identifier
1205384963
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2901016864 Issued in MI
Legal business name
DAVIS AND DAVIS ORTHODONTICS
Practice address
200 Northgate Dr
Midland, MI 48640-7344
Phone
(989) 631-1334
Fax
(989) 631-0309
NPI assigned
Sep 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Authorized official

Name
Mrs. Debra A McCann
Title
Financial Coordinator
Phone
(989) 631-1334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 2901016864 MI Primary

Addresses

Primary practice location

200 Northgate Dr
Midland, MI 48640-7344

Mailing address

200 Northgate Dr
Midland, MI 48640-7344
Phone (989) 631-1334

National Provider Directory

National Provider Directory

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": "1473638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473638400000",
    "number": "1205384963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NORTHGATE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407344",
            "telephone_number": "989-631-1334",
            "fax_number": "989-631-0309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTHGATE DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486407344",
            "telephone_number": "989-631-1334",
            "fax_number": "989-631-0309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS AND DAVIS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-12",
        "last_updated": "2016-09-12",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "989-631-1334",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901016864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.