Organization Active NPI

Christi M. Davis, DDS, PA, II

  • Pediatric Dentistry
  • Raleigh, NC
National Provider Identifier
1407149271
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
7533 Issued in NC
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

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Christi M. Davis, DDSNPI 1174575799
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)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
89902RUMedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.