Individual provider Active NPI

Delbert Alexander Davis, DMD

  • Dentist
  • Chesterfield, MI
National Provider Identifier
1447310990
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2901015964 Issued in MI
Practice address
50664 Waterside Dr
Chesterfield, MI 48051-4008
Phone
(586) 648-2022
Fax
(586) 648-8224
NPI assigned
Dec 12, 2006
Last updated
Nov 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901015964 MI Primary

Addresses

Primary practice location

50664 Waterside Dr
Chesterfield, MI 48051-4008

Mailing address

50664 Waterside Dr
Chesterfield, MI 48051-4008
Phone (586) 648-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901015964MIMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Affordable Dentures & Implants - Michigan, PLLC CurrentSince Nov 9, 2025 Accepting new patients
Bayside Family Dentistry Dentist Past Accepting new patients

Locations

50664 Waterside Dr
Chesterfield, MI 48051
Phone (586) 648-2022

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1447310990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50664 WATERSIDE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480514008",
            "telephone_number": "586-648-2022",
            "fax_number": "586-648-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50664 WATERSIDE DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480514008",
            "telephone_number": "586-648-2022",
            "fax_number": "586-648-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "DELBERT",
        "middle_name": "ALEXANDER",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901015964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.