Davis DO DDS Inc.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DAVIS DO DDS INC.

Practice address

13368 Poway Rd
Poway, CA 92064-4626

Phone

(626) 380-7626

NPI assigned

Mar 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Davis DO, DDSNPI 1356639876

Title

President

Phone

(626) 380-7626

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Davis DO, DDS

  • Dentist
  • San Diego, CA
  • NPI 1356639876
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1265133276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 LEE WAY APT 15102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921263070",
            "telephone_number": "626-380-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13368 POWAY RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920644626",
            "telephone_number": "626-380-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DO DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-380-7626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David I Bloomberg,OD, a Professional Corporation
• David I Bloomberg,OD,a Professional Corporation
• Lisa Anita Davidson, PH.D.
• Luke Davidson
• Samantha Davidson
• Alyce Davis
• Chelsea Davis
• Marilee Davis, LMFT
• Tanya Davis, RN, PHN
• Bonnie Dawson

• Dental Clinic/Center in Poway, CA
• Providers in Poway, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.