Active NPI
Henry W Davis, DDS
- General Practice Dentistry
- Erwin, NC
National Provider Identifier
1205862018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 5140
- Practice address
- 596B E Jackson Blvd
Erwin, NC 28339-9629 - Phone
- (910) 892-4535
- Fax
- (910) 892-0255
- NPI assigned
- Jun 23, 2006
- Last updated
- Jul 9, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5140 | NC | Primary |
Addresses
Primary practice location
596B E Jackson Blvd
Erwin, NC 28339-9629
Mailing address
596B E Jackson Blvd
Erwin, NC 28339-9629
Phone (910) 892-4535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8992091 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5140 | NC | MD | Specialist |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373328000000",
"number": "1205862018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "596B E JACKSON BLVD",
"city": "ERWIN",
"state": "NC",
"postal_code": "283399629",
"telephone_number": "910-892-4535",
"fax_number": "910-892-0255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "596B E JACKSON BLVD",
"city": "ERWIN",
"state": "NC",
"postal_code": "283399629",
"telephone_number": "910-892-4535",
"fax_number": "910-892-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "HENRY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2013-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NC",
"license": "5140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8992091",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Erwin, NC
- Jennifer Brooke Collins, PHARMD
- Community Health &Wellness Inc
- Ryan Costner, DDS
- Lisa Morrison Cox
- Cumberland County Hospital System Inc (Cape Fear Valley Primary Care-Erwin)
- Daymark Recovery Services Inc
- Michael Scott Desrosiers, D.D.S.
- Don G Lane DDS,PLLC (Denture Makers)
- Dunn-Erwin Medical Center, Inc.
- Elizabeth Ann Ehlers, DMS, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.