Clifford Davis II, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5238 Issued in LA

Practice address

1030 Lesseps St
New Orleans, LA 70117-4736

Phone

(504) 941-6079

NPI assigned

Oct 26, 2006

Last updated

Sep 23, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Council for Advancement of Social Service and Education

  dba CASSE - Shreveport Pediatrics

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1306455456
  NPD (past)
• Council for Advancement of Social Service and Education

  dba CASSE - DIAMC Health Center

  • Federally Qualified Health Center (FQHC)
  • Shreveport, LA
  • NPI 1467061515
  NPD (past)
• Outpatient Medical Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Leesville, LA
  • NPI 1285664508
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379894400000",
    "number": "1477638740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4148",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701784148",
            "telephone_number": "504-941-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LESSEPS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701174736",
            "telephone_number": "504-941-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CLIFFORD",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2013-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "5238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Davis
• Carter Thomas Davis, MD
• Christopher Alan Davis, COTA
• Ciera Michelle Davis
• Cinnamon Renique Davis, APRN, PMHNP, FNP-BC
• Cody Holton Davis, M.D.
• Darrell Taylor Davis Sr.
• Dawn Marie Davis
• Dawn Martin Davis, LCSW
• Denise Davis, CNA, MA

• General Practice Dentistry in New Orleans, LA
• Providers in New Orleans, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.