NPIMap

Organization Active NPI

Debra a Davis DDS

  • Dentist
  • Virginia Beach, VA
National Provider Identifier
1487635991
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6847 Issued in VA
Legal business name
DEBRA A DAVIS DDS
Practice address
1020 Independence Blvd
Suite 113
Virginia Beach, VA 23455-5541
Phone
(757) 464-0723
Fax
(757) 464-3963
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Debra Ann Davis, DDSNPI 1306073168
Title
Dentist
Phone
(757) 464-0723

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 6847 VA Primary

Addresses

Primary practice location

1020 Independence Blvd
Suite 113
Virginia Beach, VA 23455-5541

Mailing address

1020 Independence Blvd
Suite 113
Virginia Beach, VA 23455-5541
Phone (757) 464-0723

National Provider Directory

National Provider Directory

Locations

1020 Independence Blvd
Ste 113
Virginia Beach, VA 23455
Phone (757) 464-0723

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487635991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 113",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555541",
            "telephone_number": "757-464-0723",
            "fax_number": "757-464-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD",
            "address_2": "SUITE 113",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555541",
            "telephone_number": "757-464-0723",
            "fax_number": "757-464-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBRA A DAVIS DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "757-464-0723",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "VA",
            "license": "6847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.