Individual provider Active NPI

Claudia Noelle Carter Davis, D.D.S.

  • General Practice Dentistry
  • Walker, LA
National Provider Identifier
1356799647
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6645 Issued in LA
Practice address
30061 College Dr
Walker, LA 70785-7321
Phone
(225) 664-0210
Fax
(225) 664-0185
NPI assigned
May 27, 2016
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6645 LA Primary

Addresses

Primary practice location

30061 College Dr
Walker, LA 70785-7321

Mailing address

30061 College Dr
Walker, LA 70785-7321
Phone (225) 664-0210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161213001938 LA Order and Referring Only - DentistPractitioner - Dentist 3274813035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6645LAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1356799647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30061 COLLEGE DR",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707857321",
            "telephone_number": "225-664-0210",
            "fax_number": "225-664-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30061 COLLEGE DR",
            "city": "WALKER",
            "state": "LA",
            "postal_code": "707857321",
            "telephone_number": "225-664-0210",
            "fax_number": "225-664-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLAUDIA",
        "middle_name": "NOELLE CARTER",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-27",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "6645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walker, LA

Sources for this page

Verify at the official NPI Registry.