Organization Active NPI

Nicholas C. Davis, D.D.S., Apc

  • General Practice Dentistry
  • Newport Beach, CA
National Provider Identifier
1356560585
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23781 Issued in CA
Legal business name
NICHOLAS C. DAVIS, D.D.S., APC
Practice address
2503 Eastbluff Dr
Suite 102
Newport Beach, CA 92660-3505
Phone
(949) 644-9211
Fax
(949) 644-1156
NPI assigned
Apr 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Nicholas Chris Davis, D.D.S.NPI 1003155086
Title
Owner
Phone
(949) 644-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 23781 CA Primary

Addresses

Primary practice location

2503 Eastbluff Dr
Suite 102
Newport Beach, CA 92660-3505

Mailing address

2503 Eastbluff Dr
Suite 102
Newport Beach, CA 92660-3505
Phone (949) 644-9211

National Provider Directory

National Provider Directory

Locations

2503 Eastbluff Dr
Ste 102
Newport Beach, CA 92660
Phone (949) 644-9211

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356560585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2503 EASTBLUFF DR",
            "address_2": "SUITE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603505",
            "telephone_number": "949-644-9211",
            "fax_number": "949-644-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2503 EASTBLUFF DR",
            "address_2": "SUITE 102",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603505",
            "telephone_number": "949-644-9211",
            "fax_number": "949-644-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS C. DAVIS, D.D.S., APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-644-9211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "23781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • 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.