Active NPI
Tony Marvin Davis, DMD
- Dentist
- Tuscaloosa, AL
National Provider Identifier
1306813308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4693
- Practice address
- 3701 Loop Road
Tuscaloosa, AL 35404 - Phone
- (205) 554-2000
- Fax
- (256) 554-2946
- NPI assigned
- Mar 8, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 4693 | AL | Primary |
Addresses
Primary practice location
3701 Loop Road
Tuscaloosa, AL 35404
Mailing address
3701 Loop Rd
Tuscaloosa, AL 35404-5015
Phone (205) 554-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121127000412 | AL | Order and Referring Only - Oral Surgery | 1850542713 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353369600000",
"number": "1306813308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3701 LOOP RD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "354045015",
"telephone_number": "205-554-2000",
"fax_number": "256-554-2946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 LOOP ROAD",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35404",
"telephone_number": "205-554-2000",
"fax_number": "256-554-2946"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "TONY",
"middle_name": "MARVIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2012-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "4693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
- Shaquan Nicole Davis, PHARM.D.
- Shelby T Davis, AUD
- Stephen Scott Davis, DMD, MD
- Terasa Lynn Davis, PSY.D.
- Thomas Moore Davis Jr., MD
- Autumn Dawkins
- Dawn Johnson, OD
- Erica Reshae Day, M.D.
- DCH Encore Rehabilitation, LLC (DCH Encore Rehabilitation of Tuscaloosa South)
- DCH Encore Rehabilitation, LLC (DCH Encore Rehabilitation of Tuscaloosa North)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2012; 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.