Organization Active NPI

Davis and Dingle Family Dentistry

  • General Practice Dentistry
  • Columbia, SC
National Provider Identifier
1609925635
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DAVIS AND DINGLE FAMILY DENTISTRY
Practice address
3026 Farrow Rd
Columbia, SC 29203-7002
Phone
(803) 255-0200
Fax
(803) 255-0222
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Authorized official

Name
Dr. Isaiah L Davis Sr., DMD
Title
President
Phone
(803) 255-0200

Specialties & licenses 1

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

Addresses

Primary practice location

3026 Farrow Rd
Columbia, SC 29203-7002

Mailing address

3026 Farrow Rd
Columbia, SC 29203-7002
Phone (803) 255-0200

Other identifiers 1

IdentifierTypeStateIssuer
ZA9674MedicaidSC

National Provider Directory

National Provider Directory

Locations

3026 Farrow Rd
Columbia, SC 29203
Phone (803) 255-0200

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": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247529600000",
    "number": "1609925635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3026 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037002",
            "telephone_number": "803-255-0200",
            "fax_number": "803-255-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3026 FARROW RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292037002",
            "telephone_number": "803-255-0200",
            "fax_number": "803-255-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVIS AND DINGLE FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-07-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ISAIAH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "803-255-0200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9674",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.