Richard Duke Davis, DMD

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

7571268 Issued in ID

Practice address

1980 1St St
Idaho Falls, ID 83401-4342

Phone

(208) 350-3897

NPI assigned

Jul 5, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Unmc College of Dentistry

  • Dentist
  • Lincoln, NE
  • NPI 1649646746
  NPD (past)

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1316670698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014342",
            "telephone_number": "208-350-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 1ST ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014342",
            "telephone_number": "208-350-3897"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1130 S Hwy 89",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "WY",
            "postal_code": "830018512",
            "country_code": "US",
            "telephone_number": "208-350-3897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "RICHARD",
        "middle_name": "DUKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "WY",
            "license": "1703",
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "ID",
            "license": "7571268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kent W. Davis, MD
• Kirsten A Davis, LMP
• Lauren Ashley Davis, DMD
• Mercedes Davis
• Michael Davis
• Scott D Davis, DDS
• Shayleigh Davis, PTA
• Shelley Leilani Davis, P.A.-C
• Timothy Bowen Davis, CRNA
• Tysen Derek Davis

• Periodontics in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Periodontics in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.