Terry L. Davidson, D.D.S., P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5635 Issued in KS

Legal business name

TERRY L. DAVIDSON, D.D.S., P.A.

Practice address

120 W 6TH St
Newton, KS 67114-2155

Phone

(316) 283-0110

Fax

(316) 283-0736

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Terry L. Davidson, D.D.S.NPI 1326143496

Title

President

Phone

(316) 283-0110

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Terry L. Davidson, D.D.S.

  • General Practice Dentistry
  • Newton, KS
  • NPI 1326143496
  NPD (past) Authorized official

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306941471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W 6TH ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142155",
            "telephone_number": "316-283-0110",
            "fax_number": "316-283-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W 6TH ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671142155",
            "telephone_number": "316-283-0110",
            "fax_number": "316-283-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY L. DAVIDSON, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "316-283-0110",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "5635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Sydow, LMSW-T
• Terence Aik-Huang Tan, M.B. B.CH. B.A.O.
• Bonnie Tandoc, ARNP
• Sarah J Tauiliili, N.P.
• Angel Teck, DO
• The Mirror, Inc.
• Krista Thurber, APRN
• Sabra Leigh Tieperman, RN ARNP
• Matthew Tippin, DDS
• Phillip Tippin

• General Practice Dentistry in Newton, KS
• Providers in Newton, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.