Robert Evan Davies, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

5000400-015 Issued in WI

Practice address

2117 Corporate Dr.
Suite 100
Waukesha, WI 53189

Phone

(262) 547-5813

Fax

(262) 547-5835

NPI assigned

Nov 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davies Pediatric Dentistry

  • Pediatric Dentistry
  • Waukesha, WI
  • NPI 1003908856
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1285713461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2117 CORPORATE DR.",
            "address_2": "SUITE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-547-5813",
            "fax_number": "262-547-5835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 CORPORATE DR.",
            "address_2": "SUITE 100",
            "city": "WAUKESHA",
            "state": "WI",
            "postal_code": "53189",
            "telephone_number": "262-547-5813",
            "fax_number": "262-547-5835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIES",
        "first_name": "ROBERT",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "WI",
            "license": "5000400-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33662900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davies Pediatric Dentistry
• Christopher B Davies, MD
• Elizabeth Davies, MD
• Kirk Robert Davies, D.D.S., M.S.
• Kirsten Margaret Davies, D.D.S.
• William B Davies, MD
• Amy Davis
• Ann M Davis, APNP
• Clifton O Davis
• Courtney Davis, LCSW, CSAC, CSIT

• Pediatric Dentistry in Waukesha, WI
• Providers in Waukesha, WI by specialty
• Pediatric Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.