Active NPI
Joshua Warren Davis, D.D.S.
- Dentist
- Wichita, KS
National Provider Identifier
1487880282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 60684
- Practice address
- 7570 W 21St St N
BLDG. 1050 Suite B
Wichita, KS 67205-1734 - Phone
- (316) 721-2024
- NPI assigned
- Jun 8, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 60684 | KS | Primary |
Addresses
Primary practice location
7570 W 21St St N
BLDG. 1050 Suite B
Wichita, KS 67205-1734
Mailing address
7570 W 21St St N
BLDG. 1050 Suite B
Wichita, KS 67205-1734
Phone (316) 721-2024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Mar 1, 2014 through Mar 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60684 | KS | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Davis & Dold Dental, LLC | Past | Accepting new patients | |
| Reflection Ridge Dental, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Wichita, KS
- NPI 1295286474
-
- Point of Service
- Wichita, KS
- NPI 1972740843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244419200000",
"number": "1487880282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7570 W 21ST ST N",
"address_2": "BLDG. 1050 SUITE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051734",
"telephone_number": "316-721-2024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7570 W 21ST ST N",
"address_2": "BLDG. 1050 SUITE B",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051734",
"telephone_number": "316-721-2024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "JOSHUA",
"middle_name": "WARREN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-06-08",
"last_updated": "2009-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "60684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.