Active NPI
G. Michael Davis DDS LLC
- General Practice Dentistry
- Columbia, LA
National Provider Identifier
1508214982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 3388
- Legal business name
- G. MICHAEL DAVIS DDS LLC
- Practice address
- 7915 Highway 165
Columbia, LA 71418-3327 - Phone
- (318) 649-6451
- NPI assigned
- May 26, 2016
- Last updated
- May 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. G Michael Davis
- Title
- Owner
- Phone
- (318) 649-6451
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3388 | LA | Primary |
Addresses
Primary practice location
7915 Highway 165
Columbia, LA 71418-3327
Mailing address
7915 Highway 165
Columbia, LA 71418-3327
Phone (318) 649-6451
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1833886 | Medicaid | LA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Columbia, LA
- NPI 1437160199
-
- General Practice Dentistry
- Columbia, LA
- NPI 1902247877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464220800000",
"number": "1508214982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7915 HIGHWAY 165",
"city": "COLUMBIA",
"state": "LA",
"postal_code": "714183327",
"telephone_number": "318-649-6451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7915 HIGHWAY 165",
"city": "COLUMBIA",
"state": "LA",
"postal_code": "714183327",
"telephone_number": "318-649-6451"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "G. MICHAEL DAVIS DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-26",
"last_updated": "2016-05-26",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "G MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-649-6451",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "LA",
"license": "3388",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1833886",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.