NPIMap

Organization Active NPI

Jerit Davis DDS Dental Corporation

  • General Practice Dentistry
  • Carmel, CA
National Provider Identifier
1497428981
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JERIT DAVIS DDS DENTAL CORPORATION
Practice address
26365 Carmel Rancho Blvd Ste E
Carmel, CA 93923-8744
Phone
(831) 624-3549
NPI assigned
Jul 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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

Authorized official

Name
Jerit Davis, DDSNPI 1790801306
Title
Owner
Phone
(214) 491-8398

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

26365 Carmel Rancho Blvd Ste E
Carmel, CA 93923-8744

Mailing address

6988 Lebanon Rd Ste 102
Frisco, TX 75034-6743

National Provider Directory

National Provider Directory
Tax ID family
El Portal Dental Group2 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.

Locations

26365 Carmel Rancho Blvd
Ste E
Carmel, CA 93923
Phone (831) 624-3549

Practitioners & affiliated clinicians

Practitioners 3

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": "1627516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627516800000",
    "number": "1497428981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6988 LEBANON RD STE 102",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750346743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26365 CARMEL RANCHO BLVD STE E",
            "city": "CARMEL",
            "state": "CA",
            "postal_code": "939238744",
            "telephone_number": "831-624-3549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERIT DAVIS DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JERIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-491-8398",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2021; 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.