Bo Davidson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

61184 Issued in KS

Practice address

229 N Main St
Newton, KS 67114-3442

Phone

(316) 283-0870

Fax

(316) 283-1430

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Bo Zhang Former name

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.

• Dr Pamela R McCullough DDS PA

  • General Practice Dentistry
  • Newton, KS
  • NPI 1245230374
  NPD (past)

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1326414525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143442",
            "telephone_number": "316-283-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N MAIN ST",
            "city": "NEWTON",
            "state": "KS",
            "postal_code": "671143442",
            "telephone_number": "316-283-0870",
            "fax_number": "316-283-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "BO",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "61184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BO",
            "last_name": "ZHANG",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Megan Crowe, PHARMD
• Paul Daigle, LAC
• Joshua A Dalton, ATC
• Vicki Lynn Daniel, PT
• Maeline B. Dapson, RN
• Terry L. Davidson, D.D.S.
• Christopher Andres De Jesus, DPT
• Deeply Rooted Therapy LLC
• John A Degrado, D.C.
• Cassandra Delaney, LP

• Dentist in Newton, KS
• Providers in Newton, KS by specialty
• Dentist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.