Organization Active NPI

Doctors Bill and Davis Dentistry, PLLC

  • Pediatric Dentistry
  • Las Vegas, NV
National Provider Identifier
1548607294
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
S6-121 Issued in NV
Legal business name
DOCTORS BILL AND DAVIS DENTISTRY, PLLC
Practice address
10660 Southern Highlands Pkwy
Suite 110
Las Vegas, NV 89141-4114
Phone
(702) 477-0040
NPI assigned
Jun 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Authorized official

Name
Jay E Davis, DMD, MS
Title
Managing Member
Phone
(702) 477-0040

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X S6-121 NV Primary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X S3-233 NV

Addresses

Primary practice location

10660 Southern Highlands Pkwy
Suite 110
Las Vegas, NV 89141-4114

Mailing address

10660 Southern Highlands Pkwy
Suite #110
Las Vegas, NV 89141-4114
Phone (702) 477-0040

National Provider Directory

National Provider Directory

Locations

10660 Southern Highlands Pkwy
Ste 110
Las Vegas, NV 89141
Phone (702) 477-0040

Practitioners & affiliated clinicians

Practitioners 1

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": "1370217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1548607294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10660 SOUTHERN HIGHLANDS PKWY",
            "address_2": "SUITE #110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414114",
            "telephone_number": "702-477-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10660 SOUTHERN HIGHLANDS PKWY",
            "address_2": "SUITE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891414114",
            "telephone_number": "702-477-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS BILL AND DAVIS DENTISTRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-03",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-477-0040",
        "authorized_official_credential": "DMD, MS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NV",
            "license": "S6-121",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NV",
            "license": "S3-233",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.