Active NPI
Lisa Davis, RDH
- Dental Hygienist
- Wilmington, DE
National Provider Identifier
1275087264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- G2-0002498
- Practice address
- 5901 Stone Pine Rd
Wilmington, DE 19808-1015 - Phone
- (302) 893-4448
- NPI assigned
- Aug 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | G2-0002498 | DE | Primary |
Addresses
Primary practice location
5901 Stone Pine Rd
Wilmington, DE 19808-1015
Mailing address
5901 Stone Pine Rd
Wilmington, DE 19808-1015
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 |
|---|---|---|---|
| G2-0002498 | DE | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470614400000",
"number": "1275087264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 STONE PINE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 STONE PINE RD",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198081015",
"telephone_number": "302-893-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "LISA",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-08",
"last_updated": "2016-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "DE",
"license": "G2-0002498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.