Active NPI
Dena Davidson, OD
- Optometrist
- Davis, CA
National Provider Identifier
1629090659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT10473T
- Practice address
- 2035 Lyndell Ter
Suite 100
Davis, CA 95616-6202 - Phone
- (530) 757-6000
- Fax
- (530) 231-5873
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT10473T | CA | Primary |
Addresses
Primary practice location
2035 Lyndell Ter
Suite 100
Davis, CA 95616-6202
Mailing address
2035 Lyndell Ter
Suite 100
Davis, CA 95616-6202
Phone (530) 757-6000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT10473T | CA | MD | Optometrist |
| 10473 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280361600000",
"number": "1629090659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2035 LYNDELL TER",
"address_2": "SUITE 100",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166202",
"telephone_number": "530-757-6000",
"fax_number": "530-231-5873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2035 LYNDELL TER",
"address_2": "SUITE 100",
"city": "DAVIS",
"state": "CA",
"postal_code": "956166202",
"telephone_number": "530-757-6000",
"fax_number": "530-231-5873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIDSON",
"first_name": "DENA",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2010-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "OPT10473T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.