Individual provider Active NPI

Lauren Ashley Davis, DMD

  • Dentist
  • Idaho Falls, ID
National Provider Identifier
1609247147
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D-4682 Issued in ID
Practice address
3315 S Holmes Ave
Idaho Falls, ID 83404-7981
Phone
(208) 522-4491
NPI assigned
Oct 9, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D-4682 ID Primary

Addresses

Primary practice location

3315 S Holmes Ave
Idaho Falls, ID 83404-7981

Mailing address

3315 S Holmes Ave
Idaho Falls, ID 83404-7981
Phone (208) 522-4491

Other practice location 1

315 McHugh Blvd
Commanding Officer 2D Denbn/NDC, PSC 20130
Camp Lejeune, NC 28540-0130
Phone (910) 451-2208 ext. 203

Other names 1

  • Lauren Ashley Royse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D-4682IDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
T and H Enterprises, DMD PastSince Nov 24, 2024 Accepting new patients
Taylorview Dental Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1444348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1609247147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-522-4491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 S HOLMES AVE",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834047981",
            "telephone_number": "208-522-4491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 MCHUGH BLVD",
            "address_2": "COMMANDING OFFICER 2D DENBN/NDC, PSC 20130",
            "address_purpose": "LOCATION",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285400130",
            "country_code": "US",
            "telephone_number": "910-451-2208 x203",
            "fax_number": "910-451-8036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "ID",
            "license": "D-4682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ROYSE",
            "middle_name": "ASHLEY",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Idaho Falls, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.