Gregory Davis DDS Inc.

Primary specialty

DentistTaxonomy code 122300000X

License

21869 Issued in CA

Legal business name

GREGORY DAVIS DDS INC.

Practice address

4626 Mercury St
San Diego, CA 92111-2410

Phone

(858) 292-8180

Fax

(858) 292-0690

NPI assigned

Dec 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Gregory Parke Davis, DDS

Title

President

Phone

(858) 292-8180

Specialties & licenses 1

Addresses

Other names 1

• Kearny Dental Doing business as

Tax ID family

Bonita Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Gregory Davis DDS Inc.

  • Dentist
  • Bonita, CA
  • NPI 1922280874
  NPD tax ID

Locations

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1457535700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 MERCURY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112410",
            "telephone_number": "858-292-8180",
            "fax_number": "858-292-0690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 MERCURY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112410",
            "telephone_number": "858-292-8180",
            "fax_number": "858-292-0690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY DAVIS DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "PARKE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-292-8180",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "21869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kearny Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Gregorich
• Renee Gregorio, DPM
• Samara Gregorio, MT
• Gregory Carinci Psychology Inc
• Gregory D Harvey DC a Chiropractic Corp
• Gregory George Hom
• Gregory M Ray DDS Inc
• Gregory M. Balourdas, M.D., Inc.
• Gregory P. Ranches MD, Apc
• Gregory R. Mack MD, Inc

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.