Darrell W. Davis, D.D.S., P.C

Primary specialty

DentistTaxonomy code 122300000X

License

15136 Issued in MO

Legal business name

DARRELL W. DAVIS, D.D.S., P.C

Practice address

17020 E US Highway 40
#7
Independence, MO 64055-5361

Phone

(816) 350-7710

Fax

(816) 350-7711

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Darrell W. Davis, D.D.S., P.C.NPI 1750430955

Title

Dentist

Phone

(816) 350-7710

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Darrell W. Davis, DDS, PC

  • General Practice Dentistry
  • Independence, MO
  • NPI 1750430955
  NPD (past) Authorized official
• Jennifer Falk Crumbaugh, D.D.S.

  • Dentist
  • Independence, MO
  • NPI 1093128159
  NPD (past)

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1356547780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17020 E. U.S. HIGHWAY 40",
            "address_2": "#7",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640145365",
            "telephone_number": "816-350-7710",
            "fax_number": "816-350-7711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17020 E US HIGHWAY 40",
            "address_2": "#7",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555361",
            "telephone_number": "816-350-7710",
            "fax_number": "816-350-7711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARRELL W. DAVIS, D.D.S., P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "816-350-7710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., P.C."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "15136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1750430955",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Psalm Nguyen Dang, MD
• Nika Dangelo
• Daniel R Novack OD LLC
• Patricia Kathleen Danzo, RN BSN
• Thomas McClellan Darnall, D.D.S.
• Selena Nicole Dattoli, APRN, FNP-C
• Patrick Daugherty
• Valentenia Daugherty, D.P.M.
• Lindsey Marie Daum
• Kim M Davies, M.D.

• Dentist in Independence, MO
• Providers in Independence, MO by specialty
• Dentist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.