Collin Davidson, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

5319871 Issued in UT

Practice address

6087 S Redwood Rd
Suite C
Taylorsville, UT 84123-5330

Phone

(801) 352-1300

Fax

(801) 352-1872

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Davidson Dental

  • General Practice Dentistry
  • Roy, UT
  • NPI 1235568015
  NPD (past) Authorized official
• Genesis Dental of Roy, LLC

  • General Practice Dentistry
  • Roy, UT
  • NPI 1841300381
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376648840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4896 S 1900 W",
            "address_2": "SUITE C",
            "city": "ROY",
            "state": "UT",
            "postal_code": "840672994",
            "telephone_number": "801-825-3898",
            "fax_number": "801-352-1872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6087 S REDWOOD RD",
            "address_2": "SUITE C",
            "city": "TAYLORSVILLE",
            "state": "UT",
            "postal_code": "841235330",
            "telephone_number": "801-352-1300",
            "fax_number": "801-352-1872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "5319871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tavish Darger
• Alexia Daugaard
• Cutter David
• Ginger David
• Caleb Davidson
• Taylor Davie, CSW
• Aaron Davies, PHARMD
• Allen David Davies, DO
• Bradley Michael Davies
• Kelcie Davies

• Dentist in Taylorsville, UT
• Providers in Taylorsville, UT by specialty
• Dentist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.