Organization Active NPI

Leslie I. Davis, BDS, DDS, PC

  • Periodontics
  • Sun City West, AZ
National Provider Identifier
1235697939
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
Legal business name
LESLIE I. DAVIS, BDS, DDS, PC
Doing business as
Arizona Institute for Periodontics and Dental Implants
Practice address
13802 W Camino del Sol Ste 103
Sun City West, AZ 85375-4486
Phone
(623) 584-0664
Fax
(623) 584-1728
NPI assigned
Mar 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Dr. Leslie Davis, BDS, DDSNPI 1053355214
Title
Owner
Phone
(623) 584-0664

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X Primary

Addresses

Primary practice location

13802 W Camino del Sol Ste 103
Sun City West, AZ 85375-4486

Mailing address

13802 W Camino del Sol Ste 103
Sun City West, AZ 85375-4486
Phone (623) 584-0664

Other names 1

  • Arizona Institute for Periodontics and Dental Implants Doing business as

National Provider Directory

National Provider Directory

Locations

13802 W Camino del Sol
Ste 103
Sun City West, AZ 85375
Phone (623) 556-9371

Practitioners & affiliated clinicians

Practitioners 1

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": "1552348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1235697939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13802 W CAMINO DEL SOL STE 103",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754486",
            "telephone_number": "623-584-0664",
            "fax_number": "623-584-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13802 W CAMINO DEL SOL STE 103",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754486",
            "telephone_number": "623-584-0664",
            "fax_number": "623-584-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LESLIE I. DAVIS, BDS, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-584-0664",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BDS, DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Institute for Periodontics and Dental Implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2019; 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.