Joshua R Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

056090 Issued in NY

Practice address

300 Columbus Ave Ste C
Tuckahoe, NY 10707-2553

Phone

(914) 522-4200

Fax

(914) 533-4200

NPI assigned

Jun 22, 2011

Last updated

Jul 21, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Weill Medical College of Cornell

  dba Department of Surgery

  • Surgery Physician
  • New York, NY
  • NPI 1669579017
  Medicare reassignment NPD
• Davis Dental PLLC

  dba Metro Dental

  • Dental Clinic/Center
  • Tuckahoe, NY
  • NPI 1285258087
  NPD Authorized official
• Weill Medical College of Cornell

  • Cardiovascular Disease Physician
  • New York, NY
  • NPI 1144729385
  NPD

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285920801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 COLUMBUS AVE STE C",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072553",
            "telephone_number": "914-533-4200",
            "fax_number": "914-533-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 COLUMBUS AVE STE C",
            "city": "TUCKAHOE",
            "state": "NY",
            "postal_code": "107072553",
            "telephone_number": "914-522-4200",
            "fax_number": "914-533-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "JOSHUA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2022-07-21",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "056090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestwood Dental Services,P.C.
• Francesca Cristiano
• Nicole Michele Daloisio, PHARMD
• Jonathan David, MD
• Davis Dental PLLC (Metro Dental)
• Mark Demoraes, PT, DPT
• Vita M Dequatro, DOCTORATE OF PT
• John P. Detone, D.C.
• Faith Deveaux, PH.D.
• Alejandro Diaz, PHD, LCSW

• General Practice Dentistry in Tuckahoe, NY
• Providers in Tuckahoe, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.