Stacy L Davis DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

STACY L DAVIS DDS INC

Doing business as

Dr. Stacy L. Davis

Practice address

14062 US Highway 23 Ste B
Waverly, OH 45690-9438

Phone

(740) 947-1990

NPI assigned

Mar 15, 2023

Last updated

Apr 11, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Davis, DDS

Title

Owner / Dentist

Phone

(740) 947-1990

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stacy L. Davis Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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.

• Stacy Davis Moorman, DDS

  • Dentist
  • Waverly, OH
  • NPI 1295735892

  General Practice

  NPD

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681171200000",
    "number": "1598466625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14062 US HIGHWAY 23 STE B",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14062 US HIGHWAY 23 STE B",
            "city": "WAVERLY",
            "state": "OH",
            "postal_code": "456909438",
            "telephone_number": "740-947-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY L DAVIS DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-15",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER / DENTIST",
        "authorized_official_telephone_number": "740-947-1990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Stacy L. Davis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Dr. Stacy L. Davis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassandra Spencer
• Arin Spradlin, SWT
• Shirley Ann Spradlin, CMS
• Jacquelyn Irene Sprouse
• Heather Spurlock
• Lora Stanley
• Rikki Mikayla Stanley
• Stacey Nicole Stapleton
• Heather Staten
• Jennifer Steele

• General Practice Dentistry in Waverly, OH
• Providers in Waverly, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.