Organization Active NPI

Mila Davis DDS, PC

  • Dentist
  • Frisco, TX
National Provider Identifier
1497112551
Registry record updated Jan 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21147 Issued in TX
Legal business name
MILA DAVIS DDS, PC
Practice address
12398 FM 423
Suite 1900
Frisco, TX 75033-4758
Phone
(214) 436-4774
Fax
(214) 436-4775
NPI assigned
Jan 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2016

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

Authorized official

Name
Dr. Mila Davis, D.D.SNPI 1902955412
Title
Owner
Phone
(214) 436-4774

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 21147 TX Primary

Addresses

Primary practice location

12398 FM 423
Suite 1900
Frisco, TX 75033-4758

Mailing address

12398 FM 423
Suite 1900
Frisco, TX 75033-4758
Phone (214) 436-4774

Other identifiers 1

IdentifierTypeStateIssuer
23502MedicaidTX

Other names 1

  • Healthy Smiles Children's Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Healthy Smiles Children'S Dentistry2 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.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1453248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453248000000",
    "number": "1497112551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 1900",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334758",
            "telephone_number": "214-436-4774",
            "fax_number": "214-436-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12398 FM 423",
            "address_2": "SUITE 1900",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334758",
            "telephone_number": "214-436-4774",
            "fax_number": "214-436-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILA DAVIS DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-20",
        "last_updated": "2016-01-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-436-4774",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "TX",
            "license": "21147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "23502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smiles Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.