Organization Active NPI

Davis & Dold Dental, LLC

Doing business as Reflection Ridge Dental

  • General Practice Dentistry
  • Wichita, KS
National Provider Identifier
1295286474
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
60684 Issued in KS
Legal business name
DAVIS & DOLD DENTAL, LLC
Doing business as
Reflection Ridge Dental
Practice address
7570 W 21St St N Ste 1050B
Wichita, KS 67205-1772
Phone
(316) 721-2024
Fax
(316) 721-9189
NPI assigned
Oct 21, 2016
Last updated
Jan 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Authorized official

Name
Joshua W Davis, DDSNPI 1487880282
Title
Member
Phone
(316) 721-2024

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
General Practice Dentistry 1223G0001X 60684 KS Primary

Addresses

Primary practice location

7570 W 21St St N Ste 1050B
Wichita, KS 67205-1772

Mailing address

7570 W 21St St N Ste 1050B
Wichita, KS 67205-1772
Phone (316) 721-2024

Other names 1

  • Reflection Ridge Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484524800000",
    "number": "1295286474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1050B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051772",
            "telephone_number": "316-721-2024",
            "fax_number": "316-721-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7570 W 21ST ST N STE 1050B",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672051772",
            "telephone_number": "316-721-2024",
            "fax_number": "316-721-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS & DOLD DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2017-01-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "316-721-2024",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "60684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reflection Ridge Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; 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.