Michael James Davidson, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

08635 Issued in IA

Practice address

8573 Urbandale Ave
Urbandale, IA 50322-4108

Phone

(515) 279-3848

Fax

(515) 279-4479

NPI assigned

Jun 25, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Davidson Family Dentistry

  • General Practice Dentistry
  • Urbandale, IA
  • NPI 1497973960
  NPD (past)
• Davidson Family Dentistry, LLC

  • Dental Clinic/Center
  • Urbandale, IA
  • NPI 1164928388
  NPD (past)

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

{
    "created_epoch": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245888000000",
    "number": "1629206917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 N WALNUT CREEK DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224443",
            "telephone_number": "515-279-3848",
            "fax_number": "515-279-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8573 URBANDALE AVE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224108",
            "telephone_number": "515-279-3848",
            "fax_number": "515-279-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2009-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Daniels
• Samantha Dao, PHARMD
• Davidson Family Dentistry
• Davidson Family Dentistry, LLC
• David W Davidson, DDS
• Sarah Elizabeth Davis
• Jennifer Ann Daza, PA-C
• Amy Lynne Deace
• Thomas V Dean, RPH
• Patricia Decaire

• Dentist in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.