Kara Faye Davis, C.D,A., R.D.H.

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

0402204467 Issued in VA

Practice address

15325 Lee Hwy
Bristol, VA 24202-4013

Phone

(276) 781-6116

Fax

(276) 591-5959

NPI assigned

Jul 15, 2012

Last updated

Jul 15, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Miss Kara Faye Gobble Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1342310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342310400000",
    "number": "1326393455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15325 LEE HWY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024013",
            "telephone_number": "276-781-6116",
            "fax_number": "276-591-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15325 LEE HWY",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024013",
            "telephone_number": "276-781-6116",
            "fax_number": "276-591-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "KARA",
        "middle_name": "FAYE",
        "name_prefix": "Mrs.",
        "credential": "C.D,A., R.D.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-15",
        "last_updated": "2012-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "VA",
            "license": "0402204467",
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": "VA",
            "license": "195701",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "GOBBLE",
            "middle_name": "FAYE",
            "prefix": "MISS",
            "credential": "C.D.A., R.D.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tara Dalton, PHARM.D.
• Christopher Mark Davenport
• Jordan Davenport, FNP-BC
• Linda A Davidson, FNP
• Julie Skeens Davis, MS-CCC-SLP
• Jessica Desiray De Briel
• Kerri Logan Deel, PHARM D
• Emily Dickenson, R.N.
• Divine Home Care Inc. (Angels Care Home Health)
• Kelly Dianne Dixon, CCC-AUDIOLOGY

• Dental Hygienist in Bristol, VA
• Providers in Bristol, VA by specialty
• Dental Hygienist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.