NPIMap

Organization Active NPI

Amanda Davis, DMD, LLC

  • Dental Clinic/Center
  • Jacksonville, AL
National Provider Identifier
1447713169
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
AMANDA DAVIS, DMD, LLC
Practice address
1555 Pelham Rd S Ste G
Jacksonville, AL 36265-3377
Phone
(256) 371-0310
NPI assigned
Apr 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Amanda Davis, DMDNPI 1982020152
Title
Owner
Phone
(256) 371-0310

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1555 Pelham Rd S Ste G
Jacksonville, AL 36265-3377

Mailing address

1555 Pelham Rd S Ste G
Jacksonville, AL 36265-3377

Other names 1

  • Jacksonville Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1555 Pelham Rd S
Ste G
Jacksonville, AL 36265
Phone (256) 371-0310

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1447713169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 PELHAM RD S STE G",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 PELHAM RD S STE G",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362653377",
            "telephone_number": "256-371-0310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANDA DAVIS, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-371-0310",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.