Rachel Rae Davidson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

D-4415 Issued in ID

Practice address

1800 Lincoln Way
Suite 300
Coeur D Alene, ID 83814-2570

Phone

(208) 667-9110

Fax

(208) 676-1272

NPI assigned

Mar 30, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Rachel Rae Suess Former name

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1477829778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 E BANCROFT AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143931",
            "telephone_number": "360-393-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LINCOLN WAY",
            "address_2": "SUITE 300",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142570",
            "telephone_number": "208-667-9110",
            "fax_number": "208-676-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "RACHEL",
        "middle_name": "RAE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "SUESS",
            "middle_name": "RAE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• David H Schmitz-Binnall
• David M Saelens MPT
• Davidson Family Dental
• Bryan L Davidson, MD
• Kirk Michael Davidson, DDS
• Susan Davies
• Billie Jo Davis, PH.D., BCBA
• Rachel Marie Davis, ARNP, CNM
• Stacey Marie Davis, DPT
• Candace Day, SKILLS BUILDER

• Dentist in Coeur D Alene, ID
• Providers in Coeur D Alene, ID by specialty
• Dentist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.