Davis DO, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

101970 Issued in CA

Practice address

4110 W Point Loma Blvd
San Diego, CA 92110-5603

Phone

(619) 701-6622

NPI assigned

Jul 18, 2011

Sex

Male

Sole proprietor

No

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

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.

• Davis DO DDS Inc.

  • Dental Clinic/Center
  • Poway, CA
  • NPI 1265133276
  NPD Authorized official
• DO Bros DDS PLLC

  • Dental Clinic/Center
  • Las Vegas, NV
  • NPI 1669084786
  NPD Authorized official

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1356639876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 LEE WAY APT 15102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921263070",
            "telephone_number": "626-380-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 W POINT LOMA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921105603",
            "telephone_number": "619-701-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "DAVIS",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "126800000X",
            "taxonomy_group": "",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "101970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey DO, RBT
• Bang Kinh DO, DDS
• Bao Anh H DO
• Bryan Minh DO, DDS
• Danh Le DO, DDS
• Elaine Thanh DO, MSN, APRN, PMHNP-BC
• Han Mai DO, PHARM.D.
• Jennifer Catherine Ariana DO
• Jonathan H. DO, DDS
• Loan Hong DO, CRNA

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.