Kathy L Davies, DDS, Ms, PA

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

5902 Issued in NC

Legal business name

KATHY L DAVIES, DDS, MS, PA

Practice address

900 Martin Luther King Jr Blvd
(Historic Airport Road)Suite B
Chapel Hill, NC 27514-2601

Phone

(919) 967-5099

Fax

(919) 932-6098

NPI assigned

May 16, 2007

Organization subpart

No

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

Authorized official

Name

Kathy L Davies

Title

Owner

Phone

(919) 967-5099

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1417163221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MARTIN LUTHER KING JR BLVD",
            "address_2": "(HISTORIC AIRPORT ROAD)SUITE B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142601",
            "telephone_number": "919-967-5099",
            "fax_number": "919-932-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MARTIN LUTHER KING JR BLVD",
            "address_2": "(HISTORIC AIRPORT ROAD)SUITE B",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142601",
            "telephone_number": "919-967-5099",
            "fax_number": "919-932-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY L DAVIES, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIES",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-967-5099"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "5902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1720087455",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Anne Kasow Wichlan
• Kathryn G Kastan, MSW, MAED, LCSW
• Raj S Kasthuri, MBBS, MD
• Keneth Kastleman, PH.D.
• Shweta Kataria, MD
• Brenna Katz
• Laurence M Katz, MD
• Jessica H Katznelson, MD
• David G Kaufman, MD
• Jane S Kaufman, ANP

• Periodontics in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Periodontics in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.