Dr. Draak Davis Family Dental

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

60565 Issued in CA

Legal business name

DR. DRAAK DAVIS FAMILY DENTAL

Practice address

1624 Franklin St
Suite 1206
Oakland, CA 94612-2897

Phone

(510) 465-5555

Fax

(510) 836-8799

NPI assigned

Feb 12, 2014

Organization subpart

No

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

Authorized official

Name

Draak Karras Davis, DMD

Title

Owner

Phone

(510) 465-5555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1417371345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 FRANKLIN ST",
            "address_2": "SUITE 1206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122897",
            "telephone_number": "510-465-5555",
            "fax_number": "510-836-8799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 FRANKLIN ST",
            "address_2": "SUITE 1206",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946122897",
            "telephone_number": "510-465-5555",
            "fax_number": "510-836-8799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DRAAK DAVIS FAMILY DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DRAAK",
        "authorized_official_middle_name": "KARRAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-465-5555",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "60565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Oakland, CA
• Providers in Oakland, CA by specialty
• Preferred Provider Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.