NPIMap

Organization Active NPI

Jeffrey S Davis DDS LTD

  • General Practice Dentistry
  • Winchester, VA
National Provider Identifier
1578200010
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JEFFREY S DAVIS DDS LTD
Practice address
2270 Valor Dr Ste 105
Winchester, VA 22601-6105
Phone
(540) 545-7878
Fax
(865) 675-4719
NPI assigned
May 17, 2022
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
Michelle Jacomino
Title
Director of Payor Relations
Phone
(770) 916-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

2270 Valor Dr Ste 105
Winchester, VA 22601-6105

Mailing address

2270 Valor Dr Ste 105
Winchester, VA 22601-6105
Phone (540) 545-7878

National Provider Directory

National Provider Directory

Locations

2270 Valor Dr
Ste 105
Winchester, VA 22601
Phone (540) 545-7878

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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652745600000",
    "number": "1578200010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 VALOR DR STE 105",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016105",
            "telephone_number": "540-545-7878",
            "fax_number": "865-675-4719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 VALOR DR STE 105",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016105",
            "telephone_number": "540-545-7878",
            "fax_number": "865-675-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S DAVIS DDS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A",
        "authorized_official_last_name": "JACOMINO",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR OF PAYOR RELATIONS",
        "authorized_official_telephone_number": "770-916-9000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

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.