Jessica L McDavid, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

30-023778 Issued in OH

Practice address

611 N Broad St
Lancaster, OH 43130-2525

Phone

(740) 687-6105

Fax

(740) 687-0399

NPI assigned

Jan 31, 2013

Sex

Female

Sole proprietor

No

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 OH

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.

• Dr. Bruce B. Baker DDS and Dr. Robert a McDavid DDS LLC

  • General Practice Dentistry
  • Lancaster, OH
  • NPI 1497185557
  NPD (past)

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

{
    "created_epoch": "1359590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359590400000",
    "number": "1629317375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N BROAD ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302525",
            "telephone_number": "740-687-6105",
            "fax_number": "740-687-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 N BROAD ST",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431302525",
            "telephone_number": "740-687-6105",
            "fax_number": "740-687-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDAVID",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-31",
        "last_updated": "2013-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30-023778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert McCray, D.D.S
• Phadra McCray, LSW
• Taylor McCreary, LPC
• Emily McCulloch
• Emily McCutcheon, M.S., CCC-SLP
• Robert A McDavid, D.D.S.
• Cynthia McGowan, D.O.
• Kaylynn Danielle McKee
• Brian E McKinley Sr, LCDC III
• Christina Marie McLean, COTA/L

• Dentist in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.