Michael Davis, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60471711 Issued in WA

Practice address

3217 Picard PL
Sunnyside, WA 98944-8400

Phone

(509) 790-0722

NPI assigned

Jun 17, 2014

Sex

Male

Sole proprietor

No

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 WA

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

State licenses

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1508270661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 PICARD PL",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989448400",
            "telephone_number": "509-790-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 PICARD PL",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989448400",
            "telephone_number": "509-790-0722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60471711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Cullen
• Zorina Ava Curry, CRNA
• Jasdeep S. Dalawari, MD
• Debra Dale
• Bellamie Ciel Darcy, LMP
• Genesis Yaninellha Dearte, LMT
• Silvia P Dearte, LMP
• Arlene Delgado
• Fe M Demiar, CRNA
• Ovidio Buscaino Demiar, PA-C

• General Practice Dentistry in Sunnyside, WA
• Providers in Sunnyside, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.