Wesley R Davis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS023418 Issued in PA

Practice address

1036 Cocoa Ave
Hershey, PA 17033-1709

Phone

(717) 533-4202

Fax

(717) 533-9786

NPI assigned

Mar 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Practice roles

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.

• PDC Two LLC

  • General Practice Dentistry
  • Hershey, PA
  • NPI 1750017844
  NPD (past)

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1508037565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1036 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331709",
            "telephone_number": "717-533-4202",
            "fax_number": "717-533-9786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 COCOA AVE",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170331709",
            "telephone_number": "717-533-4202",
            "fax_number": "717-533-9786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "WESLEY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS023418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jana Davis, MD
• Jennifer Anne Davis, D.C.
• Jessica Lynn Davis, CRNP
• Joshua Davis, MD
• Trevor S Davis, CRNA
• Kory Richard Dawson, M.D.
• Sherry Dawson, PT, DPT
• Christopher Day, MD
• Carrie Daymont, MD
• Olumayowa Moyosore Dayo, MD, MPH

• General Practice Dentistry in Hershey, PA
• Providers in Hershey, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.