Organization Active NPI

Davis Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Escondido, CA
National Provider Identifier
1306092861
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
29576 Issued in CA
Legal business name
DAVIS ORTHODONTICS
Practice address
400 N Broadway
Escondido, CA 92025-2718
Phone
(760) 781-1086
Fax
(760) 781-1089
NPI assigned
Aug 14, 2008
Last updated
Apr 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Authorized official

Name
Dr. Allen G. Davis, D.D.S., M.S.
Title
Orthodontist
Phone
(760) 781-1086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 29576 CA Primary

Addresses

Primary practice location

400 N Broadway
Escondido, CA 92025-2718

Mailing address

400 N Broadway
Escondido, CA 92025-2718
Phone (760) 781-1086

Other identifiers 2

IdentifierTypeStateIssuer
B2957602OtherCADENTICAL
973179OtherCAUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

400 N Broadway
Escondido, CA 92025
Phone (760) 781-1086

NPI Registry JSON

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1306092861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252718",
            "telephone_number": "760-781-1086",
            "fax_number": "760-781-1089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N BROADWAY",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252718",
            "telephone_number": "760-781-1086",
            "fax_number": "760-781-1089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-14",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "760-781-1086",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "29576",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "B2957602",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "973179",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.