Active NPI
Adam Davis, DDS
- Dentist
- Tucson, AZ
National Provider Identifier
1235578741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0442000181
- Practice address
- 716 N Country Club Rd
Tucson, AZ 85716-4506 - Phone
- (520) 326-8516
- NPI assigned
- Jun 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 009126 | AZ | |
| Dentist | 122300000X | 0442000181 | VA | Primary |
Addresses
Primary practice location
716 N Country Club Rd
Tucson, AZ 85716-4506
Mailing address
716 N Country Club Rd
Tucson, AZ 85716-4506
Phone (520) 326-8516
Other practice location 1
6900 Forest Ave
Suite 110
Richmond, VA 23230-1729
Phone (804) 893-8692
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 |
|---|---|---|---|
| 0442000181 | VA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1235578741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "716 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164506",
"telephone_number": "520-326-8516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "716 N COUNTRY CLUB RD",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857164506",
"telephone_number": "520-326-8516"
}
],
"practiceLocations": [
{
"address_1": "6900 Forest Ave",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232301729",
"country_code": "US",
"telephone_number": "804-893-8692",
"fax_number": "804-285-1292",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ADAM",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-18",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "AZ",
"license": "009126",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0442000181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.