Davis Dermatology, PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

N6251 Issued in TX

Legal business name

DAVIS DERMATOLOGY, PA

Practice address

6500 Greenville Ave
Suite 195
Dallas, TX 75206-1014

Phone

(214) 363-3376

NPI assigned

Jul 23, 2012

Organization subpart

No

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

Authorized official

Name

Lance Davis, MDNPI 1306074943

Title

President

Phone

(214) 363-3376

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lance Edwin Davis, M.D.

  • Dermatology Physician
  • Dallas, TX
  • NPI 1306074943
  NPD (past) Authorized official

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1366797664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 HANOVER ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752257641",
            "telephone_number": "214-363-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 GREENVILLE AVE",
            "address_2": "SUITE 195",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061014",
            "telephone_number": "214-363-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS DERMATOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-363-3376",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N6251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jannel Alexa Davila, PA-C
• Lesley Megan Davila, MD
• Samuel Zachary Davila, MD
• Davina Prida DDS LLC (Inwood Village Dental)
• Davis Counseling Center, PLLC
• Camille L Davis Hayes, PSY.D
• Kaylee Marie Davis-Bordovsky, MD
• G'Meciah Davis-Henderson
• Briaunnie Leneise Davis-Preston
• Alexandra Miles Davis, RD, LD

• Dermatology Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.