Active NPI
Christi M. Davis, DDS, PA, II
- Pediatric Dentistry
- Raleigh, NC
National Provider Identifier
1407149271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 7533
- Legal business name
- CHRISTI M. DAVIS, DDS, PA, II
- Practice address
- 10411 Moncreiffe Rd
Suite 105B
Raleigh, NC 27617-7819 - Phone
- (919) 806-0200
- Fax
- (919) 806-0211
- NPI assigned
- May 26, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christi M. Davis, DDS
- Title
- President
- Phone
- (703) 587-3802
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 7533 | NC | Primary |
Addresses
Primary practice location
10411 Moncreiffe Rd
Suite 105B
Raleigh, NC 27617-7819
Mailing address
10411 Moncreiffe Rd
Suite 105B
Raleigh, NC 27617-7819
Phone (919) 806-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89902RU | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
10411 Moncreiffe Rd
Ste 105B
Raleigh, NC 27617
Phone (919) 806-0200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatric Dentistry
- Raleigh, NC
- NPI 1174575799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306368000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306368000000",
"number": "1407149271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10411 MONCREIFFE RD",
"address_2": "SUITE 105B",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276177819",
"telephone_number": "919-806-0200",
"fax_number": "919-806-0211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10411 MONCREIFFE RD",
"address_2": "SUITE 105B",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276177819",
"telephone_number": "919-806-0200",
"fax_number": "919-806-0211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTI M. DAVIS, DDS, PA, II",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-26",
"last_updated": "2011-05-26",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "CHRISTI",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "703-587-3802",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "NC",
"license": "7533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89902RU",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
- Natalie Chrismer
- Tracy A Christ-Clement, PA-C
- Frank Howard Christensen, MD
- Hali Renee Christensen, ATS
- Christi M. Davis, DDS, PA III
- Christian Counseling Associates of Raleigh, PLLC
- Mario Christianto, M.D.
- Christine Byrne Nutrition LLC
- Christine Byrne Nutrition LLC, Dba Ruby Oak Nutrition
- Christine D. Laster, DDS, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.