NPIMap

Organization Active NPI

Dagon Jones DDS Inc.

Doing business as Davis Dental Practice

  • Dentist
  • Davis, CA
National Provider Identifier
1437616349
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
DAGON JONES DDS INC.
Doing business as
Davis Dental Practice
Practice address
2800 5TH Street
Suite 100
Davis, CA 95618
Phone
(530) 756-5300
Fax
(530) 756-4941
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Dagon Hurricane Casey Jones, DDSNPI 1881855112
Title
Owner
Phone
(530) 756-5300

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2800 5TH Street
Suite 100
Davis, CA 95618

Mailing address

2800 5TH Street
Suite 100
Davis, CA 95618
Phone (530) 756-5300

Other names 1

  • Davis Dental Practice Doing business as

National Provider Directory

National Provider Directory

Locations

2800 5th St
Ste 100
Davis, CA 95618
Phone (530) 756-5300

Practitioners & affiliated clinicians

Practitioners 3

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": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1437616349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 5TH STREET",
            "address_2": "SUITE 100",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "530-756-5300",
            "fax_number": "530-756-4941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 5TH STREET",
            "address_2": "SUITE 100",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "95618",
            "telephone_number": "530-756-5300",
            "fax_number": "530-756-4941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAGON JONES DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DAGON",
        "authorized_official_middle_name": "HURRICANE CASEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-756-5300",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.