Active NPI
Malcolm Davis, D.D.S.
- Pediatric Dentistry
- Colorado Springs, CO
National Provider Identifier
1235506601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- D.007315
- Practice address
- 2436 S Academy Blvd
Colorado Springs, CO 80916-2408 - Phone
- (313) 673-2318
- NPI assigned
- Sep 1, 2015
- Last updated
- Sep 15, 2025
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00204322 | CO | |
| Dentist | 122300000X | D011217 | AZ | |
| Pediatric Dentistry | 1223P0221X | D.007315 | AL | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | TD-00-129 | NM |
Addresses
Primary practice location
2436 S Academy Blvd
Colorado Springs, CO 80916-2408
Mailing address
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (313) 673-2318
Other practice location 1
2501 W Pierson Rd
Flint, MI 48504-6802
Phone (810) 789-5880
Other practice location 2
1 University Of New Mexico
Albuquerque, NM 87131-0001
Phone (313) 673-2318
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D011217 | AZ | MD | Dentist |
| DEN.00204322 | CO | MD | Dentist |
| D.007315 | AL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Dreams, PLLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Flint, MI
- NPI 1083995526
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1235506601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 UNIVERSITY OF NEW MEXICO",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871310001",
"telephone_number": "313-673-2318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2436 S ACADEMY BLVD",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809162408",
"telephone_number": "313-673-2318"
}
],
"practiceLocations": [
{
"address_1": "2501 W Pierson Rd",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485046802",
"country_code": "US",
"telephone_number": "810-789-5880",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 University Of New Mexico",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871310001",
"country_code": "US",
"telephone_number": "313-673-2318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "MALCOLM",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-09-01",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00204322",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D011217",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "D.007315",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NM",
"license": "TD-00-129",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.