Organization Active NPI

Eric Davis DDS PLLC

  • General Practice Dentistry
  • Hillsborough, NC
National Provider Identifier
1598039372
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7271 Issued in NC
Legal business name
ERIC DAVIS DDS PLLC
Practice address
603 Hampton Pointe Blvd
Suite 1
Hillsborough, NC 27278
Phone
(919) 644-1800
Fax
(919) 644-1500
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Eric Davis, DDS
Title
General Dentist
Phone
(919) 644-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7271 NC Primary

Addresses

Primary practice location

603 Hampton Pointe Blvd
Suite 1
Hillsborough, NC 27278

Mailing address

603 Hampton Pointe Blvd
Suite 1
Hillsborough, NC 27278
Phone (919) 644-1800

Other identifiers 2

IdentifierTypeStateIssuer
5907816MedicaidNC
2063124OtherNCUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

603 Hampton Pt
Ste 1
Hillsborough, NC 27278
Phone (919) 644-1800

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": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1598039372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HAMPTON POINTE BLVD",
            "address_2": "SUITE 1",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "27278",
            "telephone_number": "919-644-1800",
            "fax_number": "919-644-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 HAMPTON POINTE BLVD",
            "address_2": "SUITE 1",
            "city": "HILLSBOROUGH",
            "state": "NC",
            "postal_code": "27278",
            "telephone_number": "919-644-1800",
            "fax_number": "919-644-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC DAVIS DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "919-644-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7271",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5907816",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "2063124",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsborough, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.